Benefits and costs of home palliative care compared with usual care for patients with advanced illness and their family caregivers.

CLINICAL QUESTION Are home palliative care services associated with benefits to patients with advanced illness and family caregivers, and are they cost-effective? BOTTOM LINE Compared with usual care, home palliative care is associated with increased odds of dying at home and fewer symptoms for patients with advanced illness. It is not associated with changes in caregiver grief. Cost-effectiveness is inconclusive.