Clinical Pathways: Recommendations for Putting Patients at the Center of Value-Based Care

被引：14

作者：

Abrahams, Edward ^{[1
]}

Balch, Alan ^{[2
]}

Goldsmith, Patricia ^{[3
]}

Kean, Marcia ^{[4
]}

Miller, Amy M. ^{[5
]}

Omenn, Gilbert ^{[6
,7
]}

Sonet, Ellen ^{[3
]}

Sprandio, John ^{[8
]}

Tyne, Courtney ^{[4
]}

Westrich, Kimberly ^{[9
]}

机构：

[1] Personalized Med Coalit, Washington, DC USA

[2] Patient Advocate Fdn, Washington, DC USA

[3] Canc Care, New York, NY USA

[4] Feinstein Kean Healthcare, Cambridge, MA USA

[5] Soc Womens Hlth Res, Washington, DC USA

[6] Univ Michigan, Sch Med, Dept Computat Med & Bioinformat, Ann Arbor, MI USA

[7] Amer Assoc Canc Res, Hlth Policy Comm, Philadelphia, PA USA

[8] Consultants Med Oncol & Hematol, Exton, PA USA

[9] Natl Pharmaceut Council, Washington, DC USA

来源：

CLINICAL CANCER RESEARCH | 2017年 / 23卷 / 16期

关键词：

CANCER CARE; ONCOLOGY;

D O I：

10.1158/1078-0432.CCR-17-1609

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Two major trends that have been affecting the provision of oncology care in the United States are a shift from volume-based to value-based care and a push toward patient-centered healthcare. However, these two trends are not always completely aligned with each other. Value-based payment models, including clinical pathways, are one strategy being implemented by oncology stakeholders to help encourage the uptake of value-based oncology care. If structured with the patient in mind, they can improve quality of care for patients with cancer, decrease inappropriate care while enabling appropriate personalization of care, and constrain rising prices by demanding a stronger link between cost and value. If not structured appropriately, they can limit patient choice, impede access to innovative treatments, and encourage onesize-fits-all oncology care. (C) 2017 AACR.

引用

页码：4545 / 4549

页数：5

共 16 条

[1]

[Anonymous], NCI dictionary of cancer terms

[2]

[Anonymous], 2015, BETT CAR SMART SPEND

[3]

Avalere, 2015, CLIN PATHW OV CURR P

[4]

CancerCare, 2016, CANCERCARE PAT ACC E

[5]

Chawla A, 2016, AM J MANAG CARE, V22, P53

[6] NCCN's Value Pathways: The Drive for Quality Cancer Care [J].

Goldsmith, Patricia J. .

JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK, 2013, 11 (02) :119-120

[7]

Goldsmith PJ, 2015, CANCERCARE SURVEY FI

[8]

McKinsey & Company, 2012, STRAT ONC SPOTL CLIN

[9] The Impact of Alternative Payment Models on Oncology Innovation and Patient Care [J].

Miller, Amy M. ;

Omenn, Gilbert S. ;

Kean, Marcia A. .

CLINICAL CANCER RESEARCH, 2016, 22 (10) :2335-2341

[10] Value, Access, and Cost of Cancer Care Delivery at Academic Cancer Centers [J].

Nardi, Elizabeth A. ;

Wolfson, Julie A. ;

Rosen, Steven T. ;

Diasio, Robert B. ;

Gerson, Stanton L. ;

Parker, Barbara A. ;

Alvarnas, Joseph C. ;

Levine, Harlan A. ;

Fong, Yuman ;

Weisenburger, Dennis D. ;

Fitzgerald, C. Lyn ;

Egan, Maggie ;

Stranford, Sharon ;

Carlson, Robert W. ;

Benz, Edward J., Jr. .

JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK, 2016, 14 (07) :837-847

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