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2026, Vol: 10, Issue: 8
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Review Article
Online Published: 15 Jul 2026
 


Hospital-based versus community-based palliative care: a systematic review of patient outcomes and healthcare utilization

Mohammed Ibrahim A. Aldokheal, Hatim Mohammed Alasiri, Mohammad Osama Abdulrahman Almohaini, Maied Zaher Alshehery.


Abstract
The models of palliative care delivery differ between hospital-based and community-based settings, and there is an increasing focus on home-based approaches to palliative care that emphasize patient-centered outcomes and the efficiency of the healthcare system. This review was intended to summarize evidence comparing between hospital-based and community-based palliative care services. Data were abstracted on the characteristics of the study, patient demographics, types of interventions, and patient outcomes such as survival, place of death, healthcare utilization, and patient-centered outcomes. The synthesis of findings was conducted in narrative form because of the heterogeneity in study design and outcome measures. Twelve studies that involved various healthcare systems and over 90,000 patients were included. Palliative care based in the community was always linked with higher chances of dying at home and lower death rates in the hospital than hospital-based care. In a number of large cohorts, the survival results were either similar or slightly better with community-based care. In the literature, community-based models have been linked to fewer emergency department visits, fewer hospitalizations, and shorter lengths of stay (in the final months of life). Palliative care provided in the community was found to be linked to better end-of-life care outcomes, including less healthcare use and a higher probability of dying at home, and similar survival rates to those of hospital-based care. The findings justify the growth of integrated home-based palliative care models in healthcare systems as a way of improving patient-centered care and maximizing resource use.

Key words: Hospital-based palliative care, community-based palliative care, systematic review, patient outcomes, healthcare utilization


 
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How to Cite this Article
Pubmed Style

Aldokheal MIA, Alasiri HM, Almohaini MOA, Alshehery MZ. Hospital-based versus community-based palliative care: a systematic review of patient outcomes and healthcare utilization. IJMDC. 2026; 10(8): 2443-2451. doi:10.24911/IJMDC.51-1779312407

Web Style

Aldokheal MIA, Alasiri HM, Almohaini MOA, Alshehery MZ. Hospital-based versus community-based palliative care: a systematic review of patient outcomes and healthcare utilization. https://www.ijmdc.com/?mno=321659 [Access: August 25, 2026]. doi:10.24911/IJMDC.51-1779312407

AMA (American Medical Association) Style

Aldokheal MIA, Alasiri HM, Almohaini MOA, Alshehery MZ. Hospital-based versus community-based palliative care: a systematic review of patient outcomes and healthcare utilization. IJMDC. 2026; 10(8): 2443-2451. doi:10.24911/IJMDC.51-1779312407


Vancouver/ICMJE Style

Aldokheal MIA, Alasiri HM, Almohaini MOA, Alshehery MZ. Hospital-based versus community-based palliative care: a systematic review of patient outcomes and healthcare utilization. IJMDC. (2026), [cited August 25, 2026]; 10(8): 2443-2451. doi:10.24911/IJMDC.51-1779312407


Harvard Style

Aldokheal, M. I. A., Alasiri, . H. M., Almohaini, . M. O. A. & Alshehery, . M. Z. (2026) Hospital-based versus community-based palliative care: a systematic review of patient outcomes and healthcare utilization. IJMDC, 10 (8), 2443-2451. doi:10.24911/IJMDC.51-1779312407


Turabian Style

Aldokheal, Mohammed Ibrahim A., Hatim Mohammed Alasiri, Mohammad Osama Abdulrahman Almohaini, and Maied Zaher Alshehery. 2026. Hospital-based versus community-based palliative care: a systematic review of patient outcomes and healthcare utilization. International Journal of Medicine in Developing Countries, 10 (8), 2443-2451. doi:10.24911/IJMDC.51-1779312407


Chicago Style

Aldokheal, Mohammed Ibrahim A., Hatim Mohammed Alasiri, Mohammad Osama Abdulrahman Almohaini, and Maied Zaher Alshehery. "Hospital-based versus community-based palliative care: a systematic review of patient outcomes and healthcare utilization." International Journal of Medicine in Developing Countries 10 (2026), 2443-2451. doi:10.24911/IJMDC.51-1779312407


MLA (The Modern Language Association) Style

Aldokheal, Mohammed Ibrahim A., Hatim Mohammed Alasiri, Mohammad Osama Abdulrahman Almohaini, and Maied Zaher Alshehery. "Hospital-based versus community-based palliative care: a systematic review of patient outcomes and healthcare utilization." International Journal of Medicine in Developing Countries 10.8 (2026), 2443-2451. Print. doi:10.24911/IJMDC.51-1779312407


APA (American Psychological Association) Style

Aldokheal, M. I. A., Alasiri, . H. M., Almohaini, . M. O. A. & Alshehery, . M. Z. (2026) Hospital-based versus community-based palliative care: a systematic review of patient outcomes and healthcare utilization. International Journal of Medicine in Developing Countries, 10 (8), 2443-2451. doi:10.24911/IJMDC.51-1779312407




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    About International Journal of Medicine in Developing Countries

    International Journal of Medicine in Developing Countries is a peer-reviewed, open-access international medical journal. Journal Title Internat ... Read more.



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