oncology care
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2022 ◽  
Vol 29 ◽  
pp. 28-35
Author(s):  
Dong Xue ◽  
Pingping Li ◽  
Tsun Hsuan Chen ◽  
Qiuling Shi ◽  
Xin Shelley Wang

2022 ◽  
pp. 104973232110668
Author(s):  
Lauren E. Lee ◽  
Kathryn Greene ◽  
Maria K. Venetis ◽  
Allyson C. Bontempo ◽  
Danielle Catona ◽  
...  

Health care providers routinely advise cancer patients to involve support persons in oncology care to fulfill critical support roles. This qualitative descriptive study explored alignment of triadic perceptions of support person involvement in oncology treatment visits and cancer-related care from the perspectives of patients with gynecologic cancer ( n = 18), regular visit-attending support people ( n = 16), and health care providers ( n = 10), including oncologists, nurses, and medical assistants. Semi-structured interviews ( N = 44) captured perceptions of facilitation and interference of support persons' roles within and outside appointments with oncology providers. Thematic analyses revealed alignment and divergence regarding support persons' instrumental, informational, and emotional support behaviors. Perspectives aligned regarding what support functions companions provide. However, patients and support persons emphasized the significance of instrumental followed by informational and emotional support, whereas oncology providers highlighted informational, followed by emotional and instrumental support. Discussion provides insight into each role’s perspective in the triad.


2022 ◽  
Author(s):  
Gabrielle B. Rocque ◽  
D'Ambra N. Dent ◽  
Nicole E. Caston ◽  
Terri Salter ◽  
Jordan DeMoss ◽  
...  

PURPOSE: Novel value-based payment approaches provide an opportunity to deploy and sustain health care delivery interventions, such as treatment planning documentation. However, limited data are available on implementation costs. METHODS: We described key factors affecting the cost of implementing care improvements under value-based payments, using treatment planning and Medicare's Oncology Care Model as examples. We estimated expected costs of implementing treatment plans for years 1 and 2-6 under (1) different staffing models, (2) use of technology, and (3) differences in the patients engaged. We compared costs to the payment amounts under the Oncology Care Model. RESULTS: Team-based models where staffing is aligned with skills needed for key tasks (eg, a combination of lay navigator, nurse, and physician) are more financially feasible when compared with using physicians or nurses alone. When existing staff are at or near capacity, hiring new staff focused on practice transformation activities allows adequate time for new initiatives without negative impacts on existing services. Investments in information technology can enhance staff productivity, but initial costs may be high. Interventions may not be financially feasible if implemented for a small patient volume or only for patients insured by a particular payer. Finally, costs may be higher for disadvantaged populations, and equity in care delivery may require higher payments from payers. CONCLUSION: Estimating the cost of implementing an intervention in different types of practice settings with various types of patients is essential to ensure that a value-based payment system will adequately support desired improvements in quality of care for all patients.


2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Anna Jo Bodurtha Smith ◽  
Daniella Pena ◽  
Emily Ko

2022 ◽  
pp. 100928
Author(s):  
Shaina F. Bruce ◽  
Bridget Huysman ◽  
Jinai Bharucha ◽  
L Stewart Massad ◽  
Mary M. Mullen ◽  
...  

2022 ◽  
Vol 164 (1) ◽  
pp. 26-27
Author(s):  
Hannah McLaughlin ◽  
Katherine Harris ◽  
Alison Goldsmith ◽  
Amanda Allshouse

2022 ◽  
Vol 164 (1) ◽  
pp. 27-28
Author(s):  
Vaidehi Mujumdar ◽  
Dante Varotsis ◽  
Rachel Madding ◽  
Norman Rosenblum ◽  
Scott Richard

2021 ◽  
Author(s):  
Kathleen A. Lynch ◽  
Angela Green ◽  
Leonard Saltz ◽  
Andrew S. Epstein ◽  
Danielle R. Romano ◽  
...  

PURPOSE: The COVID-19 pandemic surge in New York City in Spring 2020 resulted in an unprecedented constraint on health care resources. This study aimed to explore the experiences of doctors providing care to oncology patients during this time. METHODS: Hospitalists and medical oncologists from two large inpatient services at a dedicated cancer center participated in virtual in-depth interviews exploring how the pandemic affected their practice and to what extent it may have affected decisions for urgent evaluation or hospital admission, interventions, or goals-of-care discussions. Interviews also explored how the pandemic affected each individual physician's psychologic well-being. Transcripts were analyzed by three independent coders in Atlas.ti v. 7.5, using a thematic analysis approach. RESULTS: Eighteen physicians were interviewed (n = 6 GI medical oncologists, n = 6 gynecologic medical oncologists, and n = 6 hospitalists). Analysis identified five major themes related to fear and distress: (1) perceived patient fears of the hospital during COVID-19, leading to avoidance and delay of acute care needs before admission, (2) physicians' fear and distress delivering oncology care during COVID-19, (3) physician distress resulting from ambiguity in decision making, (4) distress and anxiety balancing the need for patient contact with the need to minimize infection risk, and (5) distress regarding impact of uncertainty and acuity of COVID-19 on goals-of-care discussions. CONCLUSION: Insight into the experiences of physicians providing cancer care during a COVID-19 surge underscores the need for strategies mitigate short-term distress and long-term psychologic impacts. Findings can also inform practitioner training and preparedness for future pandemics in the oncology setting.


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