{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T15:27:42Z","timestamp":1790177262591,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:00:00Z","timestamp":1768003200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:00:00Z","timestamp":1768003200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>With an ageing population, there is an increasing demand for home\u2010based palliative care to improve end\u2010of\u2010life care. Funding models can impact service utilisation and patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To compare two funding models to assess the effects on service utilisation, hospital admission, home death rates and concordance between preferred and actual place of death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single\u2010centre, prospective cohort study compared the first 12 months of two funding models. Eligible patients accessing a private health insurance\u2010funded palliative care programme were included. Each funding model had different eligibility criteria: the capitation model (May 2020\u2013April 2021) required a \u22643\u2010month prognosis and preference for home death, while the fee\u2010for\u2010service model (December 2022\u2013November 2023) had a \u22646\u2010month prognosis with no preference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The capitation cohort had fewer hospital admissions (27% vs. 64%) in the last 4\u2009weeks of life, and a higher rate in home or a residential aged care facility (78% vs. 31%). Concordance with preferred place of death was similar across cohorts (91% vs. 76%). Except for assistants in nursing, the fee\u2010for\u2010service cohort accessed more services, with utilisation increasing near death. In the final 4\u2009weeks, the capitation cohort had higher service use (median 14 vs. 7) and more involvement of assistants in nursing (40% vs. 5%) and medical practitioners (60% vs. 35%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This is one of the first studies to look into funding models and how funding mechanisms influence service utilisation, intensity and timing. While trends emerged, cohort differences led to variability and limited interpretation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/imj.70320","type":"journal-article","created":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T11:29:25Z","timestamp":1768044565000},"page":"795-802","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Funding the final chapter \u2013 capitation versus fee\u2010for\u2010service: a single\u2010centre, prospective cohort study comparing funding models in home\u2010based palliative care"],"prefix":"10.1111","volume":"56","author":[{"given":"Trish","family":"Kahawita","sequence":"first","affiliation":[{"name":"Department of Palliative Care St Vincent's Private Hospital Brisbane  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2288-820X","authenticated-orcid":false,"given":"Amanda","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Palliative Care St Vincent's Private Hospital Brisbane  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lachlan","family":"Webb","sequence":"additional","affiliation":[{"name":"Statistics Unit QIMR Berghofer  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip","family":"Good","sequence":"additional","affiliation":[{"name":"Department of Palliative Care St Vincent's Private Hospital Brisbane  Brisbane Queensland Australia"},{"name":"Mater Misericordiae Health Services  Brisbane Queensland Australia"},{"name":"Cancer Program Mater Research Institute \u2013 University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,10]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Ageing and Health","author":"Steverson M","year":"2025"},{"key":"e_1_2_7_3_1","volume-title":"Dying Well","author":"Swerissen H"},{"key":"e_1_2_7_4_1","article-title":"Effectiveness and cost\u2010effectiveness of home palliative care services for adults with advanced illness and their caregivers","volume":"2013","author":"Gomes B","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2012.02.017"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951520001315"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38740.614954.55"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/082585971002600403"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3181c162ef"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000863"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2010.31.6752"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/082585971503100203"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2022.102168"},{"key":"e_1_2_7_14_1","volume-title":"Palliative Care Services in Australia","author":"Australian Institute of Health and Welfare","year":"2025"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-018-0294-4"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12413"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.70031"},{"key":"e_1_2_7_18_1","unstructured":"Palliative Care Australia.Submission to the Primary Health Care Advisory Group: better outcomes for people with chronic and complex health conditions through primary health care. 2015 (cited 2025 Dec 1). 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