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This version was published on September 1, 2007
American Journal of Hospice and Palliative Medicine®, Vol. 24, No. 4, 284-290 (2007)
DOI: 10.1177/1049909107300212
© 2007 SAGE Publications

The Cost of Home Hospice Care for Terminal Patients in Israel

Yitschak Shnoor, MA

From Myers-JDC-Brookdale Institute, Jerusalem

Mali Szlaifer, BA, RN

Home Hospice in the Valleys, Clalit Health Services, Northern Region

Amitai S. Aoberman, MD

Home Hospice in the Valleys, Clalit Health Services, Northern Region, Department of Geriatric Medicine, Padeh Medical Center Tiberias Services, Israel

Netta Bentur, PhD

From Myers-JDC-Brookdale Institute, Jerusalem, bentur{at}jdc.org.il

This study examined and compared the cost of care provided to terminal metastatic cancer patients by home hospices and by conventional health services. The study population included 146 patients with metastatic cancer. Half received home hospice services, and the other half received conventional services. The average overall per-patient cost of care was, respectively, $4761 (operating costs included) and $12 434. On average, the costs were lower for older patients. A multiple regression analysis revealed that treatment units per patient, care framework, and patient age significantly contributed to explaining the cost variance. The findings suggest a financial advantage for home hospice care for terminal patients. This should be investigated further, as should the cost of informal caregivers and patient and caregiver satisfaction with the quality of care in both frameworks.

Key Words: home hospice care • terminal illness • cost-effectiveness


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