THERAPEUTICS
In-home palliative care increased patient satisfaction and reduced use and costs of medical services
| The first 150 words of the full text of this article appear below. |
S Enguidanos
Dr S Enguidanos, Partners in Care Foundation, San Fernando, CA, USA; senguidanos@picf.org
STUDY DESIGN
randomised controlled trial.
concealed.*
blinded (data collectors).*
STUDY QUESTION
2 HMOs in Hawaii and Colorado, USA.
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 or hospital within the previous year; and scored 70% on the Palliative Performance Scale.
in-home palliative care (IHPC) plus usual care (n = 155) or usual care alone (n = 155). IHPC was provided by an interdisciplinary team including the patient and family; a physician, nurse, and social worker with expertise in symptom management and biopsychosocial intervention; and other team members as needed (eg, spiritual counsellor, pharmacist, dietician). The team coordinated care across all settings and provided assessment, planning, care delivery, follow-up, education, and support. Physicians conducted home
Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA
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