American Cancer Society National Conference on Purchasing Oncology Services : Current Methods and Models in the Marketplace. Chicago, IL, USA, 1997/09/11.
Changing patterns of patient referral, decreasing payments for service provision, confusing network participation and reimbursement, as well as challenges to autonomous clinical decision-making jeopardize the traditional role of the oncologist in delivering cancer care.
The cancer patient also may be at risk with unproven cancer delivery systems that displace the oncologist as decision-maker and care provider.
The authors have constructed a model that preserves the oncologist's clinical and financial autonomy while meeting marketplace demands for improved access, decreasing costs and preserved quality of care.
During a 4-year period, a group of private practice medical oncologists initiated a formal business plan to evaluate marketplace needs, then designed and implemented a novel cancer care delivery model.
The model required reconfiguring the practice into an integrated Joint Commission on Accreditation of Healthcare Organizations-certified cancer service corporation, providing medical, radiation, and gynecologic oncology.
Palliative care, pain management, psychologic, and nutritional services were instituted as well as the vertical integration of home health and hospice care.
Clinical pathways and treatment protocols were designed to enhance patient care and facilitate cost-of-care projections in designated populations using a cancer incidence forecasting model. (...)
Mots-clés Pascal : Evaluation performance, Cancérologie, Qualité, Soin, Etats Unis, Amérique du Nord, Amérique, Critère décision, Protocole thérapeutique, Epidémiologie, Survie, Pronostic, Homme
Mots-clés Pascal anglais : Performance evaluation, Cancerology, Quality, Care, United States, North America, America, Decision criterion, Therapeutic protocol, Epidemiology, Survival, Prognosis, Human
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0296468
Code Inist : 002B30A01A2. Création : 27/11/1998.