{"id":"https://openalex.org/W22227414","doi":null,"title":"The health economics of palliative care.","display_name":"The health economics of palliative care.","publication_year":2002,"publication_date":"2002-06-01","ids":{"openalex":"https://openalex.org/W22227414","mag":"22227414","pmid":"https://pubmed.ncbi.nlm.nih.gov/12088300"},"language":"en","primary_location":{"id":"pmid:12088300","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12088300","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Oncology (Williston Park, N.Y.)","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103597171","display_name":"S Kirk Payne","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I184840846","display_name":"Virginia Commonwealth University","ror":"https://ror.org/02nkdxk79","country_code":"US","type":"education","lineage":["https://openalex.org/I184840846"]},{"id":"https://openalex.org/I4390039382","display_name":"VCU Massey Comprehensive Cancer Center","ror":"https://ror.org/0173y3036","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I184840846","https://openalex.org/I4390039382"]},{"id":"https://openalex.org/I72019824","display_name":"Virginia Commonwealth University Medical Center","ror":"https://ror.org/057xmsr27","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I72019824"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"S Kirk Payne","raw_affiliation_strings":["Palliative Care Service, Medical College of Virginia Hospitals and Massey Cancer Center, Virginia Commonwealth University, Richmond 23298-0230, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Palliative Care Service, Medical College of Virginia Hospitals and Massey Cancer Center, Virginia Commonwealth University, Richmond 23298-0230, USA","institution_ids":["https://openalex.org/I184840846","https://openalex.org/I4390039382","https://openalex.org/I72019824"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019652298","display_name":"Patrick J. Coyne","orcid":"https://orcid.org/0000-0001-9517-3518","observed_orcids":["https://orcid.org/0000-0001-9517-3518"]},"institutions":[{"id":"https://openalex.org/I184840846","display_name":"Virginia Commonwealth University","ror":"https://ror.org/02nkdxk79","country_code":"US","type":"education","lineage":["https://openalex.org/I184840846"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Patrick Coyne","raw_affiliation_strings":["Virginia Commonwealth University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Virginia Commonwealth University","institution_ids":["https://openalex.org/I184840846"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5054848999","display_name":"Thomas J. Smith","orcid":"https://orcid.org/0000-0003-3040-6434","observed_orcids":["https://orcid.org/0000-0003-3040-6434"]},"institutions":[{"id":"https://openalex.org/I184840846","display_name":"Virginia Commonwealth University","ror":"https://ror.org/02nkdxk79","country_code":"US","type":"education","lineage":["https://openalex.org/I184840846"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas J Smith","raw_affiliation_strings":["Virginia Commonwealth University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Virginia Commonwealth University","institution_ids":["https://openalex.org/I184840846"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.4855,"has_fulltext":false,"cited_by_count":34,"citation_normalized_percentile":{"value":0.91888482,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"16","issue":"6","first_page":"801","last_page":"8; discussion 808, 811"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.005799999926239252,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/palliative-care","display_name":"palliative care","score":0.9869999885559082},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.746999979019165},{"id":"https://openalex.org/keywords/hospice-care","display_name":"hospice care","score":0.996999979019165},{"id":"https://openalex.org/keywords/advance-directives","display_name":"advance directives","score":0.8479999899864197},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.8790000081062317},{"id":"https://openalex.org/keywords/symptom-management","display_name":"symptom management","score":0.8360000252723694},{"id":"https://openalex.org/keywords/palliative-chemotherapy","display_name":"palliative chemotherapy","score":0.968999981880188},{"id":"https://openalex.org/keywords/best-supportive-care","display_name":"best supportive care","score":0.9760000109672546},{"id":"https://openalex.org/keywords/nurse-coordination","display_name":"nurse coordination","score":0.6740000247955322},{"id":"https://openalex.org/keywords/cost-reduction","display_name":"cost reduction","score":0.4869999885559082}],"concepts":[{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.7825627326965332},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6829515099525452},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5706851482391357},{"id":"https://openalex.org/C161681244","wikidata":"https://www.wikidata.org/wiki/Q5194613","display_name":"Curative care","level":4,"score":0.5636427998542786},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.5393542647361755},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4881063401699066},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.47305241227149963},{"id":"https://openalex.org/C2780879335","wikidata":"https://www.wikidata.org/wiki/Q2045105","display_name":"End-of-life care","level":3,"score":0.4665398895740509},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.45064646005630493},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.4158995747566223},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.41546037793159485},{"id":"https://openalex.org/C127454912","wikidata":"https://www.wikidata.org/wiki/Q942582","display_name":"Cost\u2013benefit analysis","level":2,"score":0.4151993989944458},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.41488194465637207},{"id":"https://openalex.org/C203915360","wikidata":"https://www.wikidata.org/wiki/Q352454","display_name":"Critical care nursing","level":3,"score":0.41057464480400085},{"id":"https://openalex.org/C124306116","wikidata":"https://www.wikidata.org/wiki/Q2512965","display_name":"Ambulatory care","level":3,"score":0.3526379466056824},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.34007328748703003},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016223","descriptor_name":"Advance Directives","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017046","descriptor_name":"Cost Savings","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D017051","descriptor_name":"Hospice Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D017051","descriptor_name":"Hospice Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D024802","descriptor_name":"Nurse's Role","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:12088300","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12088300","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Oncology (Williston Park, N.Y.)","raw_type":"Journal Article"},{"id":"mag:22227414","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12088300","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9537000060081482}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":80,"referenced_works":["https://openalex.org/W15608114","https://openalex.org/W55233105","https://openalex.org/W79001361","https://openalex.org/W652577554","https://openalex.org/W1503958277","https://openalex.org/W1544577254","https://openalex.org/W1737743379","https://openalex.org/W1838765309","https://openalex.org/W1842425533","https://openalex.org/W1859092351","https://openalex.org/W1861968676","https://openalex.org/W1868723949","https://openalex.org/W1893347245","https://openalex.org/W1930945683","https://openalex.org/W1936346055","https://openalex.org/W1968028211","https://openalex.org/W1968188313","https://openalex.org/W1973840913","https://openalex.org/W1976925379","https://openalex.org/W1979876536","https://openalex.org/W1983875903","https://openalex.org/W1990600911","https://openalex.org/W1993060659","https://openalex.org/W1998323434","https://openalex.org/W1998454311","https://openalex.org/W2003444776","https://openalex.org/W2004193007","https://openalex.org/W2004656203","https://openalex.org/W2004954619","https://openalex.org/W2006686068","https://openalex.org/W2008138427","https://openalex.org/W2008669545","https://openalex.org/W2008852595","https://openalex.org/W2009336973","https://openalex.org/W2017075079","https://openalex.org/W2018274107","https://openalex.org/W2020356356","https://openalex.org/W2024663617","https://openalex.org/W2035334203","https://openalex.org/W2037888561","https://openalex.org/W2040610111","https://openalex.org/W2048997229","https://openalex.org/W2054417713","https://openalex.org/W2057192241","https://openalex.org/W2058614402","https://openalex.org/W2060879488","https://openalex.org/W2061987825","https://openalex.org/W2064493370","https://openalex.org/W2065281673","https://openalex.org/W2067095093","https://openalex.org/W2068824512","https://openalex.org/W2073156421","https://openalex.org/W2076565215","https://openalex.org/W2079118994","https://openalex.org/W2082250731","https://openalex.org/W2086511859","https://openalex.org/W2087097380","https://openalex.org/W2087100828","https://openalex.org/W2088877993","https://openalex.org/W2089263584","https://openalex.org/W2105685140","https://openalex.org/W2116392924","https://openalex.org/W2118492507","https://openalex.org/W2118708819","https://openalex.org/W2125284466","https://openalex.org/W2129140715","https://openalex.org/W2129793485","https://openalex.org/W2135462549","https://openalex.org/W2137325786","https://openalex.org/W2137405619","https://openalex.org/W2164402909","https://openalex.org/W2263077246","https://openalex.org/W2276707897","https://openalex.org/W2314987647","https://openalex.org/W2327661009","https://openalex.org/W2329099948","https://openalex.org/W2332795037","https://openalex.org/W2395025118","https://openalex.org/W2798383191","https://openalex.org/W4320300826"],"related_works":["https://openalex.org/W4251145211","https://openalex.org/W2770691427","https://openalex.org/W263747417","https://openalex.org/W4414247772","https://openalex.org/W4392390126","https://openalex.org/W3119725381","https://openalex.org/W2592611211","https://openalex.org/W4413976798","https://openalex.org/W4231660189","https://openalex.org/W4251888099"],"abstract_inverted_index":{"Only":[0],"a":[1],"few":[2,124,138],"studies":[3],"have":[4],"assessed":[5],"the":[6,20,55,67,103,111,116,204],"economic":[7],"outcomes":[8,84],"of":[9,15,24,46,79,85,91,97,113,128,150,195],"palliative":[10,29,80,166],"therapy.":[11],"The":[12],"major":[13],"areas":[14],"interest":[16],"include":[17],"hospice":[18,40],"care,":[19,25,39,136],"process":[21],"and":[22,28,88,118,130],"structure":[23],"symptom":[26,131],"management,":[27],"chemotherapy":[30,151],"compared":[31,155],"to":[32,100,109,115,156,213],"best":[33,44,157],"supportive":[34,158],"care.":[35,159,179],"Compared":[36],"with":[37,192],"nonhospice":[38],"care":[41,48,61,75,81,105,114,167,186],"saves":[42],"at":[43],"3%":[45],"total":[47],"costs.":[49,92,120],"Advance":[50],"directives":[51],"done":[52,65],"early":[53,193],"in":[54,66,102,134,165,175],"disease":[56],"course":[57],"may":[58,208],"save":[59,71,119,153],"end-of-life":[60,135,190],"costs,":[62],"but":[63],"when":[64],"hospital":[68],"do":[69],"not":[70],"money":[72,154],"or":[73],"influence":[74],"choices.":[76],"Nurse":[77],"coordination":[78],"maintained":[82],"clinical":[83,126],"dying":[86],"patients":[87],"saved":[89],"40%":[90,212],"A":[93],"structured":[94],"ethics":[95],"review":[96],"those":[98],"likely":[99],"die":[101],"intensive":[104],"unit":[106],"also":[107],"appears":[108],"match":[110],"type":[112],"outcome,":[117],"There":[121,146],"are":[122,147],"remarkably":[123],"randomized":[125],"trials":[127],"pain":[129],"control":[132],"interventions":[133],"so":[137],"conclusions":[139],"can":[140,169,188],"be":[141,209],"drawn":[142],"about":[143],"current":[144],"treatments.":[145],"no":[148],"examples":[149],"that":[152,163,187,206],"Current":[160],"data":[161,199],"suggest":[162],"changes":[164,174],"cost":[168],"only":[170],"come":[171],"from":[172,200],"dramatic":[173],"how":[176],"we":[177],"provide":[178],"One":[180],"model":[181],"is":[182],"coordinated,":[183],"expert,":[184],"high-volume":[185],"prevent":[189],"hospitalization,":[191],"use":[194],"advance":[196],"directives.":[197],"Preliminary":[198],"our":[201],"program":[202],"support":[203],"hypothesis":[205],"costs":[207],"reduced":[210],"by":[211],"70%.":[214]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":3},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}