TY - JOUR T1 - In-home palliative care increased patient satisfaction and reduced use and costs of medical services JF - Evidence Based Medicine JO - Evid Based Med SP - 19 LP - 19 DO - 10.1136/ebm.13.1.19 VL - 13 IS - 1 A2 - , Y1 - 2008/02/01 UR - http://ebm.bmj.com/content/13/1/19.abstract N2 - S EnguidanosDr S Enguidanos, Partners in Care Foundation, San Fernando, CA, USA; senguidanos@picf.orgDesign:randomised controlled trial.Allocation:concealed.*Blinding:blinded (data collectors).*Setting:2 HMOs 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 or hospital within the previous year; and scored ⩽ 70% on the Palliative Performance Scale.Intervention: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). … ER -