Quality of Care in Surgical Oncology

被引:9
作者
Matula, Sierra R. [1 ]
Mercado, Cheryl [1 ]
Ko, Clifford Y. [1 ]
Tomlinson, James S. [1 ]
机构
[1] Univ Calif Los Angeles, Robert Wood Johnson Clin Scholars Program, Los Angeles, CA 90024 USA
关键词
HIGH-VOLUME HOSPITALS; CANCER CARE; HEALTH-CARE; MULTIDISCIPLINARY TEAMS; SURGEON VOLUME; BREAST-CANCER; MORTALITY; OUTCOMES; SPECIALIZATION; SURVIVAL;
D O I
10.1177/107327480901600404
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: High-quality health care is safe, effective, efficient, timely, patient-centered, and equitable. A current focus on quality assessment and improvement in oncology care, specifically in surgical oncology, is aimed toward providing optimal health services that consistently fulfill these elements for cancer patients. Methods: In surgical oncology, outcomes have historically focused on perioperative morbidity and mortality. To assess care metrics in the United States, we review structural and process measures of quality care in surgical oncology. Results: Most quality metrics in surgical oncology pertain to structural measures of care such as accreditation, procedure volumes, provider specialization, and multidisciplinary teams. Process measures, such as surgical technique, are also important but are not easily quantified. Conclusions: Policy implications of quality metrics in surgical oncology include formal regionalization of care, changes in payment structures, and public reporting. More comprehensive assessments of outcomes are gaining traction in the field of surgical oncology; this shift in focus to the patient's perspective will enhance the quality of care delivered by surgical oncologists.
引用
收藏
页码:303 / 311
页数:9
相关论文
共 48 条
[1]  
American College of Surgeons, NATIONAL SURGICAL QU
[2]  
American College of Surgeons, NATIONAL ACCREDITATI
[3]   The flexner report and the standardization of American medical education [J].
Beck, AH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 291 (17) :2139-2140
[4]   Impact of hospital volume on operative mortality for major cancer surgery [J].
Begg, CB ;
Cramer, LD ;
Hoskins, WJ ;
Brennan, MF .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 280 (20) :1747-1751
[5]   Directing surgical quality improvement initiatives: Comparison of perioperative mortality and long-term survival for cancer surgery [J].
Bilimoria, Karl Y. ;
Bentrem, David J. ;
Feinglass, Joseph M. ;
Stewart, Andrew K. ;
Winchester, David P. ;
Talamonti, Mark S. ;
Ko, Clifford Y. .
JOURNAL OF CLINICAL ONCOLOGY, 2008, 26 (28) :4626-4633
[6]   The National Cancer Data Base: A powerful initiative to improve cancer care in the United States [J].
Bilimoria, Karl Y. ;
Stewart, Andrew K. ;
Winchester, David P. ;
Ko, Clifford Y. .
ANNALS OF SURGICAL ONCOLOGY, 2008, 15 (03) :683-690
[7]   Effect of Surgeon Training, Specialization, and Experience on Outcomes for Cancer Surgery: A Systematic Review of the Literature [J].
Bilimoria, Karl Y. ;
Phillips, Joseph D. ;
Rock, Colin E. ;
Hayman, Amanda ;
Prystowsky, Jay B. ;
Bentrem, David J. .
ANNALS OF SURGICAL ONCOLOGY, 2009, 16 (07) :1799-1808
[8]   Surgeon volume and operative mortality in the United States [J].
Birkmeyer, JD ;
Stukel, TA ;
Siewers, AE ;
Goodney, PP ;
Wennberg, DE ;
Lucas, FL .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (22) :2117-2127
[9]   Hospital volume and surgical mortality in the United States. [J].
Birkmeyer, JD ;
Siewers, AE ;
Finlayson, EVA ;
Stukel, TA ;
Lucas, FL ;
Batista, I ;
Welch, HG ;
Wennberg, DE .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (15) :1128-1137
[10]  
Bowles EJA, 2008, CANCER-AM CANCER SOC, V112, P934, DOI [10.1002/cncr23250, 10.1002/cncr.23250]