Costs and Cost Effectiveness of a Health Care Provider–Directed Intervention to Promote Colorectal Cancer Screening Among Veterans

2005 ◽  
Vol 23 (34) ◽  
pp. 8877-8883 ◽  
Author(s):  
Michael S. Wolf ◽  
Karen A. Fitzner ◽  
Eowyn F. Powell ◽  
Kathryn R. McCaffrey ◽  
A. Simon Pickard ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Information Technology ◽  
Cost Effectiveness ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Health Care Provider ◽  
Care Provider ◽  
Sensitivity Analyses ◽  
The Cost

Purpose Colorectal cancer screening is underused, particularly in the Veterans Affairs (VA) population. In a randomized controlled trial, a health care provider–directed intervention that offered quarterly feedback to physicians on their patients' colorectal cancer screening rates led to a 9% increase in colorectal cancer screening rates among veterans. The objective of this secondary analysis was to assess the cost effectiveness of the colorectal cancer screening promotion intervention. Methods Providers in the intervention arm attended an educational workshop on colorectal cancer screening and received confidential feedback on individual and group-specific colorectal cancer screening rates. The primary end point was completion of colorectal cancer screening tests. Sensitivity analyses investigated cost-effectiveness estimates varying the data collection methods, costs of labor and technology, and the effectiveness of the intervention. Results Rates of colorectal cancer screening for the intervention versus control arms were 41.3% v 32.4%, respectively (P < .05). The incremental cost-effectiveness ratio was $978 per additional veteran screened based on feedback reports generated from manual review of records. However, if feedback reports could be generated from information technology systems, sensitivity analyses indicate that the cost-effectiveness estimate would decrease to $196 per additional veteran screened. Conclusion An intervention based on quarterly feedback reports to physicians improved colorectal cancer screening rates at a VA medical center. This intervention would be cost effective if relevant data could be generated by existing information technology systems. Our findings may have broad applicability because a 2005 Medicare initiative will provide the VA electronic medical record system as a free benefit to all US physicians.

scholarly journals A Personalized Approach of Patient–Health Care Provider Communication Regarding Colorectal Cancer Screening Options

2018 ◽  
Vol 38 (5) ◽  
pp. 601-613 ◽  
Author(s):  
M. Gabriela Sava ◽  
James G. Dolan ◽  
Jerrold H. May ◽  
Luis G. Vargas
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Health Care Provider ◽  
Health Care Providers ◽  
Care Provider ◽  
Medical Decision ◽  
Average Risk ◽  
Care Providers

Background. Current colorectal cancer screening guidelines by the US Preventive Services Task Force endorse multiple options for average-risk patients and recommend that screening choices should be guided by individual patient preferences. Implementing these recommendations in practice is challenging because they depend on accurate and efficient elicitation and assessment of preferences from patients who are facing a novel task. Objective. To present a methodology for analyzing the sensitivity and stability of a patient’s preferences regarding colorectal cancer screening options and to provide a starting point for a personalized discussion between the patient and the health care provider about the selection of the appropriate screening option. Methods. This research is a secondary analysis of patient preference data collected as part of a previous study. We propose new measures of preference sensitivity and stability that can be used to determine if additional information provided would result in a change to the initially most preferred colorectal cancer screening option. Results. Illustrative results of applying the methodology to the preferences of 2 patients, of different ages, are provided. The results show that different combinations of screening options are viable for each patient and that the health care provider should emphasize different information during the medical decision-making process. Conclusion. Sensitivity and stability analysis can supply health care providers with key topics to focus on when communicating with a patient and the degree of emphasis to place on each of them to accomplish specific goals. The insights provided by the analysis can be used by health care providers to approach communication with patients in a more personalized way, by taking into consideration patients’ preferences before adding their own expertise to the discussion.

scholarly journals Trends in self-reported health care provider recommendations for colorectal cancer screening by race

2011 ◽  
Vol 53 (1-2) ◽  
pp. 70-75 ◽  
Author(s):  
Shayna E. Rich ◽  
Fatmatta M. Kuyateh ◽  
Diane M. Dwyer ◽  
Carmela Groves ◽  
Eileen K. Steinberger
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Health Care Provider ◽  
Care Provider ◽  
Reported Health

M1019 The Cost-Effectiveness of Colorectal Cancer Screening Considering New Guidelines, New Therapy and Compliance

2009 ◽  
Vol 136 (5) ◽  
pp. A-332
Author(s):  
Jennifer J. Telford ◽  
Jennifer C. Sambrook ◽  
Denise Zou ◽  
Adrian R. Levy ◽  
Robert A. Enns
Keyword(s):  
Colorectal Cancer ◽  
Cost Effectiveness ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
New Therapy ◽  
New Guidelines ◽  
The Cost

Custo efetividade da auditoria concorrente em uma operadora de saúde

2019 ◽  
Vol 19 (75) ◽  
Author(s):  
Ana Fátima Souza Melo de Andrade ◽  
Luiza Nauane Borges Benevides
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Hospital Stay ◽  
Health Care Provider ◽  
Care Provider ◽  
Economic Losses ◽  
Correlation Technique ◽  
Strong Positive Correlation ◽  
Care Providers ◽  
The Cost

A busca por qualidade, faturamento correto da conta hospitalar e redução de gastos indevidos é a perspectiva atual das operadoras de saúde. Nessa linha de pensamento, o objetivo principal foi analisar a redução de custos hospitalares de uma operadora de saúde do estado de Sergipe, Brasil, entre janeiro e outubro de 2018, por meio da auditoria concorrente. Trata-se de um estudo descritivo, com abordagem quanti-qualitativa, do tipo relato de experiência. A análise qualitativa tratou-se de observações a partir da vivência como profissional. Na análise quantitativa, utilizou-se da estatística univariada para descrição dos indicadores e das variações. Para identificar a relação entre o indicador econômico, financeiro e os de qualidade, foi utilizada a técnica de correlação de Pearson. Como resultado, analisou-se que as glosas recuperaram perdas econômicas, mas não aumentaram de forma linear o custo efetividade para a operadora de saúde. Houve correlação moderada negativa (p<0,001) entre permanência hospitalar e custo-efetividade da auditoria concorrente. Enquanto que a desospitalização obteve uma correlação positiva forte (p<0,001), com o custo efetividade da auditoria concorrente. A partir destes dados, concluiu-se que o crescimento da desospitalização e a diminuição da permanência hospitalar impactaram no aumento da eficácia da auditoria concorrente.Palavras-chave: Auditoria de Enfermagem. Avaliação de Custo-Efetividade. Economia e Organizações de Saúde. ABSTRACTThe search for quality, correct billing of the hospital bill and reduction of undue expenses is the current perspective of health care providers. In this line of thought, the main objective was to analyze the reduction of hospital costs of a health care provider in the state of Sergipe, Brazil, between January and October of 2018, through a concurrent audit. This is a descriptive study, with quantitative-qualitative approach, of the type of experience report. The qualitative analysis was about observations from the experience as a professional. In the quantitative analysis, univariate statistics were used to describe indicators and variations. In order to identify the relationship between economic, financial and quality indicators, the Pearson correlation technique was used. As a result, it was analyzed that the glosses recovered economic losses, but did not linearly increase the cost effectiveness for the health care provider. There was a moderate negative correlation (p <0.001) between hospital stay and cost-effectiveness of the concurrent audit. While the de-hospitalization obtained a strong positive correlation (p <0.001), with the cost effectiveness of the concurrent audit. Based on these data, it was concluded that the increase in de-hospitalization and the decrease in hospital stay had an impact on the effectiveness of the concurrent audit. Keywords: Nursing Audit. Cost-effectiveness Evaluation. Health Care Economics and Organizations.

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