Pediatric Palliative Care Program versus Usual Care and Healthcare Resource Utilization in British Columbia: A Matched-Pairs Cohort Study

摘要: Abstract Background: Evidence on the impact of pediatric palliative care programs (PPCP) resource utilization is scarce and requires broader measures to include beyond hospital setting. Objective: This research aims provide a Canadian comparative analysis between children in PPCP with those under usual care, including hospice use inpatient measurement. Methods: We conducted retrospective matched-pairs (disease age at death) cohort comparison who died versus (never enrolled PPCP), from 2008 2012. Utilization was retrieved administrative databases chart review. The main outcomes were number admissions length stay (LOS). Results: Eleven pairs found. users more likely have advanced directives (100% vs. 27%). After controlling for disease age, we found no significant difference admissions; however, had an increase post-referral compared pre-refe...