Performance measurement in cancer care : Uses and challenges.
American Cancer Society National Conference on Purchasing Oncology Services : Current Methods and Models in the Marketplace. Chicago, IL, USA, 1997/09/11.
Unnecessary, inappropriate, and futile care are given in all areas of health care including cancer care.
Not only does such care increase costs and waste precious resources, but patients may have adverse outcomes when the wrong care is given.
One of the ways to address this issue is to measure performance with the use of administrative data sets.
Through performance measurement, the best providers can be chosen, providers can be rewarded on the basis of the quality of their performance, opportunities for improvement can be identified, and variation in practice can be minimized.
Purchasers should take leadership role in creating data sets that will enhance, clinical performance.
Specifically, purchasers should require the following from payers : 1) staging information ; 2) requirements and/or incentives for proper International Classification of Diseases coding, including other important (comorbid) conditions ; 3) incentives or requirements for proper data collection if the payer is using a reimbursement strategy that places the risk on the provider ; and 4) a willingness to collect and report information to providers of care, with a view toward increasing quality and decreasing the costs of cancer care.
Demanding better clinical performance can lead to better outcomes.
Once good data is presented to patients and providers, better clinical behavior and improved cancer care systems will quickly follow.
Mots-clés Pascal : Qualité, Soin, Aspect économique, Economie santé, Analyse coût, Evaluation performance, Cancérologie, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Quality, Care, Economic aspect, Health economy, Cost analysis, Performance evaluation, Cancerology, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0296170
Code Inist : 002B30A01B. Création : 27/11/1998.