Health economic assessment of cancer therapy

2016 ◽  
pp. 236-242
Author(s):  
Jeffrey Peppercorn
Keyword(s):  
Health Economic ◽  
Cost Effectiveness ◽  
Cancer Therapy ◽  
Cancer Care ◽  
Quality Care ◽  
Economic Assessment ◽  
Control Cost ◽  
High Quality ◽  
Quality Cancer Care ◽  
Quality And Outcomes

Our ability to deliver high-quality cancer care is increasingly influenced by our ability to understand and manage the costs of care. Though there are considerable differences in the ways healthcare is financed and administered in different nations, there is a common need to deliver high-quality care at sustainable costs. This chapter reviews recent estimates of the aggregate costs of cancer care, discusses methods for determining cost-effectiveness or value in cancer care, provides a framework for understanding the components of cost at the societal and individual levels, and discusses efforts to control cost while preserving or improving both quality and outcomes.

scholarly journals Developing and Sustaining an Effective and Resilient Oncology Careforce: Opportunities for Action

2020 ◽  
Vol 112 (7) ◽  
pp. 663-670 ◽  
Author(s):  
Samuel U Takvorian ◽  
Erin Balogh ◽  
Sharyl Nass ◽  
Virginia L Valentin ◽  
Lori Hoffman-Hogg ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Cancer Care ◽  
Quality Care ◽  
Demographic Trends ◽  
High Quality ◽  
Care Services ◽  
Quality Cancer Care ◽  
Number Of Patients ◽  
Clinician Experience ◽  
Policy Forum

Abstract Advances in cancer care have led to improved survival, which, coupled with demographic trends, have contributed to rapid growth in the number of patients needing cancer care services. However, with increasing caseload, care complexity, and administrative burden, the current workforce is ill equipped to meet these burgeoning new demands. These trends have contributed to clinician burnout, compounding a widening workforce shortage. Moreover, family caregivers, who have unique knowledge of patient preferences, symptoms, and goals of care, are infrequently appreciated and supported as integral members of the oncology “careforce.” A crisis is looming, which will hinder access to timely, high-quality cancer care if left unchecked. Stemming from the proceedings of a 2019 workshop convened by the National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine, this commentary characterizes the factors contributing to an increasingly strained oncology careforce and presents multilevel strategies to improve its efficiency, effectiveness, and resilience. Together, these will enable today’s oncology careforce to provide high-quality care to more patients while improving the patient, caregiver, and clinician experience.

scholarly journals Evaluating Barriers and Opportunities in Delivering High-Quality Oncology Care in a Resource-Limited Setting Using a Comprehensive Needs Assessment Tool

2018 ◽  
pp. 1-9
Author(s):  
Chika R. Nwachukwu ◽  
Omobola Mudasiru ◽  
Lynn Million ◽  
Shruti Sheth ◽  
Hope Qamoos ◽  
...  
Keyword(s):  
Palliative Care ◽  
Needs Assessment ◽  
Cancer Care ◽  
Assessment Tool ◽  
Hospital Staff ◽  
Teaching Hospitals ◽  
High Quality ◽  
Middle Income ◽  
Quality Cancer Care ◽  
Oncology Care

Purpose Despite recognition of both the growing cancer burden in low- and middle-income countries and the disproportionately high mortality rates in these settings, delivery of high-quality cancer care remains a challenge. The disparities in cancer care outcomes for many geographic regions result from barriers that are likely complex and understudied. This study describes the development and use of a streamlined needs assessment questionnaire (NAQ) to understand the barriers to providing quality cancer care, identifies areas for improvement, and formulates recommendations for implementation. Methods Using a comprehensive NAQ, in-depth interviews were conducted with 17 hospital staff involved in cancer care at two teaching hospitals in Nigeria. Data were analyzed using content analysis and organized into a framework with preset codes and emergent codes, where applicable. Results Data from the interviews were organized into six broad themes: staff, stuff, system, space, lack of palliative care, and provider bias, with key barriers within themes including: financial, infrastructural, lack of awareness, limited human capacity resources, lack of palliative care, and provider perspective on patient-related barriers to cancer care. Specific solutions based on ability to reasonably implement were subcategorized into short-, medium-, and long-term goals. Conclusion This study provides a framework for a streamlined initial needs assessment and a unique discussion on the barriers to high-quality oncology care that are prevalent in resource-constrained settings. We report the feasibility of collecting and organizing data using a streamlined NAQ and provide a thorough and in-depth understanding of the challenges in this setting. Knowledge gained from the assessments will inform steps to improve oncology cancer in these settings.

scholarly journals Choosing Wisely: The Korean Perspective and Launch of the ‘Right Decision in Cancer Care’ Initiative

2020 ◽  
Vol 52 (3) ◽  
pp. 655-660
Author(s):  
Joo-Young Kim ◽  
Kyoung Eun Lee ◽  
Kyubo Kim ◽  
Myung Ah Lee ◽  
Won Sup Yoon ◽  
...  
Keyword(s):  
Cancer Care ◽  
Health Expenditure ◽  
Clinical Evidence ◽  
Healthcare Expenditure ◽  
Quality Care ◽  
Medical Professionalism ◽  
Care Needs ◽  
High Quality ◽  
Medical Environment ◽  
The Right

Government healthcare expenditure is rising in Korea, and the costs incurred by patients in Korea exceed those incurred by patients in other Organization for Economic Co-operation and Development countries. Despite the increasing health expenditure, patient demand for services is increasing as well, so it is now becoming recognized that cancer care needs to be balanced. The most important measure in cancer care optimization is to provide high-quality care while keeping costs sustainable. The Korean Cancer Association considers the current situation of cancer therapy in Korea the foremost issue, which has led to the implementation of the nationwide ‘Right Decisions in Cancer Care’ initiative. This initiative is based on the concepts of medical professionalism in that it should be led by physicians working in the field of oncology, that education should be offered to patients and clinicians, and that it should influence healthcare policy. In this article, we introduce the nationwide ‘Right Decision in Cancer Care’ initiative and highlight the five initial items on its agenda. The agenda is open to expansion and update as the medical environment evolves and additional clinical evidence becomes available.

Editor's Memo

2021 ◽  
Vol 19 (2) ◽  
Author(s):  
Robert Figlin
Keyword(s):  
Cancer Research ◽  
Health Equity ◽  
Cancer Care ◽  
Scientific Collaboration ◽  
Opinion Leaders ◽  
High Quality ◽  
Quality Cancer Care ◽  
Key Opinion Leaders ◽  
American Society ◽  
Silver Lining

The COVID-19 pandemic has exposed fundamental disparities in the provision of health care across our nation and exacerbated the differences in health outcomes associated with race, socioeconomic and other demographic factors. A silver lining however is that pandemic precarity has inspired tremendous scientific collaboration among clinicians, researchers, and key opinion leaders. In this line, this year’s Annual Meeting of the American Society of Clinical Oncology (ASCO21) which was kicked off virtually on June 4 through June 8, not only celebrated latest breakthroughs in cancer research, treatment and patient care, but also focused on health equity in cancer care. ASCO21’s fitting theme - Health equity “doing right by the patients for whom we care” reflected addressing complex forces and systems that have created disparities in cancer care, treatment, and research and identifying ways to ensure that all patients have access to and benefit from the latest cancer advances and high-quality cancer care.

Improving the bottom line with the same high quality cancer care

2020 ◽  
Vol 159 ◽  
pp. 307
Author(s):  
A.N. Al-Niaimi ◽  
D.S. Huang ◽  
N.H. Mirabadi ◽  
E.M. Hartenbach
Keyword(s):  
Cancer Care ◽  
Bottom Line ◽  
High Quality ◽  
Quality Cancer Care
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