TY - JOUR T1 - <span hwp:id="article-title-1" class="article-title">In-home palliative care increased patient satisfaction and reduced use and costs of medical services</span><span hwp:id="article-title-2" class="sub-article-title">Commentary</span> JF - Evidence Based Nursing JO - Evid Based Nurs SP - 22 LP - 22 DO - 10.1136/ebn.11.1.22 VL - 11 IS - 1 AU - Michelle Acorn Y1 - 2008/01/01 UR - http://ebn.bmj.com/content/11/1/22.abstract N2 - S EnguidanosCorrespondence to: Dr S Enguidanos, Partners in Care Foundation, San Fernando, CA, USA; senguidanos@picf.orgDoes an in-home palliative care (IHPC) programme plus usual care increase patient satisfaction and reduce use and costs of medical services compared with usual care alone?Design:randomised controlled trial.Allocation:concealed.Blinding:blinded (data collectors).Follow-up period:to death or end of study period.Setting:2 health maintenance organisations in Hawaii and Colorado, USA.Patients:310 patients (mean age 74 y, 51% men) who had a primary diagnosis of congestive heart failure, chronic obstructive pulmonary disease, or cancer; had a life expectancy ⩽12 months; had visited the emergency department (ED) or hospital within the previous year; and scored ⩽70% on the Palliative Performance Scale.Intervention:IHPC plus usual care (n = 155) or usual care alone (n = 155). IHPC was provided by an interdisciplinary team including the patient and … ER -