Humanization in palliative care through art: A Social Return on Investment (SROI) analysis of ProArt
Main Article Content
- Elena García+−
- Javier Lera +−
- David Cantarero-Prieto+−
- Carla Blázquez-Fernández+−
- Ana Expósito+−
- Ana Rodríguez Valcarce+−
Abstract
Keywords:
Downloads
Article Details
References
Abbing, A., de Sonneville, L., Baars, E., Bourne, D., & Swaab, H. (2019). Anxiety reduction through art therapy in women: Exploring stress regulation and executive functioning as underlying neurocognitive mechanisms. PLOS ONE, 14(12), e0225200. https://doi.org/10.1371/journal.pone.0225200
Aparicio, M., Centeno, C., & Arantzamendi, M. (2019a). The significance of gratitude for palliative care professionals: A mixed method protocol. BMC Palliative Care, 18, 28. https://doi.org/10.1186/s12904-019-0412-y
Aparicio, M., Centeno, C., Juliá, G., & Arantzamendi, M. (2019b). Gratitude from patients and relatives in palliative care-characteristics and impact: A national survey. BMJ Supportive and Palliative Care, 12, e562-e569. https://doi.org/10.1136/bmjspcare-2019-001858
Arantzamendi, M., Belar, A., & Martínez, M. (2016). Promoting patient-centred palliative care: A scoping review of the patient dignity question. Current Opinion in Supportive and Palliative Care, 10(4), 324–329. https://doi.org/10.1097/SPC.0000000000000237
August, I. A., Innovation, S., Enterprise, S., Evaluation, S., & Impact, S. (2011). Social Return on Investment Evaluation Craft Cafe. August, 1–44. Available at: https://socialvalueuk.org/reports/craft-cafe-sroi-evaluation/
Australian Government. (2020). Social Impact Investing Taskforce - Final Report.
Barnett, K. S., & Vasiu, F. (2024). How the arts heal: A review of the neural mechanisms behind the therapeutic effects of creative arts on mental and physical health. Frontiers in Behavioral Neuroscience, 18, 1422361. https://doi.org/10.3389/fnbeh.2024.1422361
Barry, M. J., & Edgman-Levitan, S. (2012). Shared Decision Making — The Pinnacle of Patient-Centered Care. New England Journal of Medicine, 366(9), 780–781. https://doi.org/10.1056/NEJMp1109283
Cabinet Office. (2019). Social Value in Government Procurement. https://www.gov.uk/government/consultations/social-value-in-government-procurement
Castellotti, S., Gragnoli, E., Baglioni, G., et al. (2025). Art-induced psychological well-being: Individual traits shape the beneficial effects of aesthetic experiences. PLOS ONE, 20(11). https://doi.org/10.1371/journal.pone.0332321
CEGOS. (2019). Aprender a trabajar en equipo con the human element. https://www.cegos.es/formacion/eficacia-y-desarrollo-profesional/curso-elemento-humano-productividad-trabajo-en-equipo
Chatterjee, H., & Noble, G. (2020). Museums, Health and Well-Being. Routledge.
Chochinov, H. M. (2002). Dignity-conserving care—a new model for palliative care. JAMA, 287(17), 2253–2260. https://doi.org/10.1001/jama.287.17.2253
Chochinov, H. M., Kristjanson, L. J., Breitbart, W., McClement, S., Hack, T. F., Hassard, T., & Harlos, M. (2011). Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomised controlled trial. The Lancet Oncology, 12(8), 753–762. https://doi.org/10.1016/S1470-2045(11)70153-X
Coast, J., & Lavender, S. (2009). An exploration of the economics of end of life care. In Manchester: Presented to the UK Health Economists’ Study Group Meeting.
Collette, N., Güell, E., Fariñas, O., & Pascual, A. (2021). Art therapy in a palliative care unit: Symptom relief and perceived helpfulness in patients and their relatives. Journal of Pain and Symptom Management, 61(1), 103–111. https://doi.org/10.1016/j.jpainsymman.2020.07.027
Coulter, A., Locock, L., Ziebland, S., & Calabrese, J. (2014). Collecting data on patient experience is not enough: they must be used to improve care. BMJ, 348. https://doi.org/10.1136/bmj.g2225
Council of Torrelavega. (2019). Escuela de Arte Eduardo Lopez Pisano. http://www.lopezpisano.es/curso-de-iniciacion-al-dibujo-y-la-pintura/
Dates, M., Mallender, J., Pritchard, C., & Rtveladze, K. (2015). Community Engagement – approaches to improve health and reduce health inequalities. https://www.nice.org.uk/guidance/ng44/evidence/health-economics-4-review-of-sroi-evaluations-pdf-2368262416
de Bronkart, D., & Sands, D. (2014). ¡Dejad que los pacientes ayuden! Createspace Independent Pub.
de Witte, M., Orkibi, H., Zarate, R., et al. (2021). From therapeutic factors to mechanisms of change in the creative arts therapies: A scoping review. Frontiers in Psychology, 12, 678397. https://doi.org/10.3389/fpsyg.2021.678397
emagister. (2020). Experto en inteligencia emocional sector sanitario. https://www.emagister.com/experto-inteligencia-emocional-sector-sanitario-tanatorio-duelo-cursos-3212546.htm
Gola, M., Francalanza, P. C., Galloni, G., Pagella, B., & Capolongo, S. (2016). Architectures for paediatric palliative care: how to improve quality of life and environmental well-being. Ann Ist Super Sanita, 52(1), 48–55. https://doi.org/10.4415/ANN_16_01_10
González, A., Ivanova, Y., Jiménez, M., Merino, M., Hidalgo, Á., Alfonso, S., Carretero, G., Ledesma, A., Sarquella, E., Carles, B., Costa, A., & Grupo de Expertos del Proyecto SROI-PSORIASIS. (2016). Retorno Social de la Inversión de un abordaje ideal de la psoriasis. https://www.novartis.es/sites/www.novartis.es/files/informe-proyecto-sroi-psoriasis.pdf
Hamelmann, C., Turatto, F., Then, V., & Dyakova, M. (2017). Social return on investment: accounting for value in the context of implementing Health 2020 and the 2030 Agenda for Sustainable Development (Investment for Health and Development Discussion Paper). http://www.euro.who.int/__data/assets/pdf_file/0009/347976/20170828-h0930-SROI-report-final-web.pdf?ua=1
Hootsuite. (2019). Annual subscription to Hootsuite. https://hootsuite.com/es/planes/enterprise
Hughes, J. (2005). Palliative Care and the QALY Problem. Health Care Analysis, 13(4), 289–301. https://doi.org/10.1007/s10728-005-8126-0
Instituto Nacional de Estadistica. (2020). Encuesta nacional de estructura salarial. https://www.ine.es/dyngs/INEbase/es/operacion.htm?c=Estadistica_C&cid=1254736177025&menu=resultados&idp=1254735976596
Ivanova, Y., Merino, M., González, A., & Jiménez, M. (2017). Retorno social de la inversión en salud. http://www.economiadelasalud.com/pdf/V12N4/analisis02_SROI.pdf
Leck, C., Upton, D., & Evans, N. (2016). Social Return on Investment: Valuing health outcomes or promoting economic values? Journal of Health Psychology, 21(7), 1481–1490. https://doi.org/10.1177/1359105314557502
Lee, J. B., McIlfatrick, S., & Fitzpatrick, L. (2021). Arts engagement facilitated by artists with individuals with life-limiting illness: A systematic integrative review of the literature. Palliative Medicine, 35(10), 1815–1831. https://doi.org/10.1177/02692163211045895
Lin, J., Lin, X., Chen, Q., et al. (2024). The effects of art-making intervention on mind–body and quality of life in adults with cancer: A systematic review and meta-analysis. Supportive Care in Cancer, 32(3), Article 186. https://doi.org/10.1007/s00520-024-08364-y
Liu, C., Xie, Y., Xu, Y., et al. (2024). Assessing the stress-relief impact of an art-based intervention inspired by the broaden-and-build theory in college students. Frontiers in Psychology, 15, 1324415. https://doi.org/10.3389/fpsyg.2024.1324415
Macdonald, D., Han, J., Elder, E., & Boydell, K. M. (2023). Parents' perspectives of an arts engagement program supporting children with anxiety. International Journal of Environmental Research and Public Health, 20(18), 6771. https://doi.org/10.3390/ijerph20186771
Maier, F., Schober, C., Simsa, R., & Millner, R. (2015). SROI as a Method for Evaluation Research: Understanding Merits and Limitations. Voluntas, 26(5), 1805–1830. https://doi.org/10.1007/s11266-014-9490-x
McHugh, N., Pinto-Prades, J. L., Baker, R., Mason, H., & Donaldson, C. (2020). Exploring the relative value of end of life QALYs: Are the comparators important? Social Science & Medicine, 245, 112660. https://doi.org/10.1016/j.socscimed.2019.112660
Merino, M., Ivanova Markova, Y., Gómez-García, T., Hidalgo-Vega, A., Díaz González, F., García de Vicuña, R., Alcaide, L., & SROI-AR, G. M. de T. del P. (2019). Impacto clínico, asistencial, económico y social del abordaje ideal de la Artritis Reumatoide en comparación con el abordaje actual. http://weber.org.es/wp-content/uploads/2019/04/Informe_completo_SROI_Lilly_AAFF-1.pdf
Merino, María, Jiménez, M., Gómez-García, T., Ivanova, Y., Hidalgo-Vega, Á., Ester, M., Fernández, Ó., Carrascal, P. C., Ruiz-Beato, E., Estell, E., Manzanares, R., & Grupo Multidisciplinar de Trabajo del proyecto SROI-EM. (2018). Impacto clínico, asistencial, económico y social del aborjade ideal de la esclerosis múltiple. http://weber.org.es/wp-content/uploads/2018/12/Informe-SROIEM_Weber-1.pdf
Merino, María, Jiménez, M., Ivanova, Y., González, A., Villoro, R., Hidalgo, Á., Casariego, E., Manito, N., Saturnino, M. T. S., Fajardo, T. J., Blanch, C., Lloret, J., & SROI-IC, G. de T. M. del P. (2017). Valor social de un abordaje ideal en insuficiencia cardiaca. http://weber.org.es/wp-content/uploads/2017/10/Informe-proyecto-SROI-Insuficiencia-Cardiaca.pdf
Monton, O. , Drabo, E. F., Fuller, S., Johnston, F. M. (2025). Merits of the social return on investment methodology for assessing the value of palliative care programmes. The Lancet Healthy Longevity, 6(1). https://doi.org/10.1016/j.lanhl.2024.100669
Nicholls, J., Lawlor, E., Neitzert, E., & Goodspeed, T. (2012). A guide to Social Return on Investment. The SROI Network. Accounting for Value. https://socialvalueselfassessmenttool.org/wp-content/uploads/intranet/758/pdf-guide.pdf
Normand, C. (2009). Measuring Outcomes in Palliative Care: Limitations of QALYs and the Road to PalYs. Journal of Pain and Symptom Management, 38(1), 27–31. https://doi.org/10.1016/j.jpainsymman.2009.04.005
O’Hanlon, C. E., Walling, A. M., Okeke, E., Stevenson, S., & Wenger, N. S. (2018). A Framework to Guide Economic Analysis of Advance Care Planning. Journal of Palliative Medicine, 21(10), 1480–1485. https://doi.org/10.1089/jpm.2018.0041
Osakidetza. (2023). Estrategia de valor en Osakidetza. https://www.euskadi.eus/contenidos/informacion/osk_trbg_planes_programas/es_def/adjuntos/estrategia_valor_es.pdf
Peng, C. S., Baxter, K., & Lally, K. M. (2019). Music intervention as a tool in improving patient experience in palliative care. American Journal of Hospice and Palliative Medicine, 36(1), 45–49. https://doi.org/10.1177/1049909118788643
Porter, M., & Olmsted, E. (2006). Redefining health care: Creating value-based competition on results. Harvard Business School Press.
Powdthavee, N. (2008). Putting a price tag on friends, relatives, and neighbours: Using surveys of life satisfaction to value social relationships. The Journal of Socio-Economics, 37(4), 1459–1480. https://doi.org/10.1016/j.socec.2007.04.004
Puchalski, C. M., Vitillo, R., Hull, S. K., & Reller, N. (2014). Improving the spiritual dimension of whole person care: Reaching national and international consensus. Journal of Palliative Medicine, 17(6), 642–656. https://doi.org/10.1089/jpm.2014.9427
Reckers-Droog, V., van Exel, J., & Brouwer, W. (2021). Willingness to pay for quality and length of life gains in end of life patients of different ages. Social Science & Medicine, 279, 113987. https://doi.org/10.1016/j.socscimed.2021.113987
Round, J. (2012). Is a QALY still a QALY at the end of life? Journal of Health Economics, 31(3), 521–527. https://doi.org/10.1016/j.jhealeco.2012.01.006
Sandmire, D. A., Rankin, N. E., Gorham, S. R., et al. (2016). Psychological and autonomic effects of art making in college-aged students. Anxiety, Stress & Coping, 29(5), 561–579. https://doi.org/10.1080/10615806.2015.1076798
Schalock, R. L., & Verdugo Alonso, M. Á. (2003). Calidad de Vida: manual para profesionales de la educación, salud y servicios sociales. Alianza Editorial.
Sutton, E. J., & Coast, J. (2014). Development of a supportive care measure for economic evaluation of end-of-life care using qualitative methods. Palliative Medicine, 28(2), 151–157. https://doi.org/10.1177/0269216313489368
Vallejo-Torres, L., García-Lorenzo, B., & Serrano-Aguilar, P. (2018). Estimating a cost-effectiveness threshold for the Spanish NHS. Health Economics, 27(4), 746–761. https://doi.org/10.1002/hec.3633
van den Berg, B., Gafni, A., & Portrait, F. (2017). Attributing a monetary value to patients’ time: A contingent valuation approach. Social Science & Medicine, 179, 182–190. https://doi.org/10.1016/j.socscimed.2017.02.025
Warth, M., Kessler, J., Kotz, S., Hillecke, T. K., & Bardenheuer, H. J. (2015). Effects of vibroacoustic stimulation in music therapy for palliative care patients: A feasibility study. BMC Complementary and Alternative Medicine, 15, 436. https://doi.org/10.1186/s12906-015-0933-8
Wichmann, A. B., Goltstein, L. C. M. J., Obihara, N. J., Berendsen, M. R., Van Houdenhoven, M., Morrison, R. S., Johnston, B. M., Engels, Y., Berendsen, M., Goltstein, L., Knol, E., Kool, M., Nienhuis, W., Nies, L., Obihara, N., Pieksma, J., & Rovers, J. (2020). QALY-time: experts’ view on the use of the quality-adjusted life year in cost-effectiveness analysis in palliative care. BMC Health Services Research, 20(1), 659. https://doi.org/10.1186/s12913-020-05521-x
Wilson, K. G., Chochinov, H. M., Graham Skirko, M., Allard, P., Chary, S., Gagnon, P. R., Macmillan, K., De Luca, M., O’Shea, F., Kuhl, D., Fainsinger, R. L., & Clinch, J. J. (2007). Depression and Anxiety Disorders in Palliative Cancer Care. Journal of Pain and Symptom Management, 33(2), 118–129. https://doi.org/10.1016/J.JPAINSYMMAN.2006.07.016
Yasunaga, H., Ide, H., Imamura, T., & Ohe, K. (2006). Willingness to pay for health care services in common cold, retinal detachment, and myocardiac infarction: an internet survey in Japan. BMC Health Services Research, 6(1), 12. https://doi.org/10.1186/1472-6963-6-12
Yin, Y., Peng, Q., Ma, L., Dong, Y., Sun, Y., Xu, S., Ding, N., Liu, X., Zhao, M., Tang, Y., Mei, Z., Shao, H., Yan, D., & Tang, W. (2024). QALY-type preference and willingness-to-pay among end-of-life patients with cancer treatments: a pilot study using discrete choice experiment. Quality of Life Research, 33(3), 753–765. https://doi.org/10.1007/s11136-023-03562-3
