Ensuring Quality Cancer Care [printed text] / Hewitt, Maria, Author ; Simone, Joseph, V., Author . - Washington, D.C. : National Academy Press, 1999 . - IX, 246 p. : ill. ; A4. ISBN : 978-0-309-06480-4 : € 34,16 Languages : English ( eng)
| Descriptors: |
Classification
QZ 266 Neoplasms. Cysts -- Therapy
Indexation
Electronic books ; Neoplasms ; Quality control ; Quality of Health Care ; Therapeutics ; United States
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| Abstract: |
We all want to believe that when people get cancer, they will receive medical care of the highest quality. Even as new scientific breakthroughs are announced, though, many cancer patients may be getting the wrong care, too little care, or too much care, in the form of unnecessary procedures.
How close is American medicine to the ideal of quality cancer care for every person with cancer? Ensuring Quality Cancer Care provides a comprehensive picture of how cancer care is delivered in our nation, from early detection to end-of-life issues. The National Cancer Policy Board defines quality care and recommends how to monitor, measure, and extend quality care to all people with cancer. Approaches to accountability in health care are reviewed.
What keeps people from getting care? The book explains how lack of medical coverage, social and economic status, patient beliefs, physician decision-making, and other factors can stand between the patient and the best possible care. The board explores how cancer care is shaped by the current focus on evidence-based medicine, the widespread adoption of managed care, where services are provided, and who provides care. Specific shortfalls in the care of breast and prostate cancer are identified. A status report on health services research is included.
Ensuring Quality Cancer Care offers wide-ranging data and information in clear context. As the baby boomers approach the years when most cancer occurs, this timely volume will be of special interest to health policy makers, public and private healthcare purchasers, medical professionals, patient advocates, researchers, and people with cancer.
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| Contents note: |
1 INTRODUCTION 13 -- Role of the National Cancer Policy Board, 14 -- Framework of the Report, 15 -- 2 THE CANCER CARE “SYSTEM” 18 -- Elements of the Federal Cancer Care Effort, 18 -- Elements of Cancer Care, 20 -- Individuals Receiving Cancer Care, 20 -- Trajectory of Cancer Care, 22 -- Providers of Cancer Care, 26 -- Sites of Cancer Care, 30 -- The Intersection of Cancer Care and Research, 34 -- Financial Costs of Cancer Care, 35 -- Impact of a Changing Health Care System on Cancer Care, 36 -- Managed Care, 37 -- Self-Funded Health Insurance Plans, 41 -- Key Findings, 41 -- 3 ENSURING ACCESS TO CANCER CARE 46 -- Evidence of Access Problems, 47 -- Why Do These Differences Exist? 47 -- Financial Barriers to Access to Cancer Care, 48 -- Review of the Literature, by Phase of Care, 50 -- Phase 1: Early Detection, 50 -- Phase 2: Evaluation of Abnormal Screening -- Phase 3: Cancer Treatment, 58 -- Phase 4: Posttreatment Surveillance and Recurrence Care, 63 -- Phase 5: End-of-Life Care, 63 -- Key Findings, 66 -- 4 DEFINING AND ASSESSING QUALITY CANCER CARE 79 -- Defining Quality of Care, 79 -- Why Measure Quality of Cancer Care? 80 -- How Is Quality Measured? 80 -- Structural Quality, 80 -- Process Quality, 81 -- Outcomes, 84 -- Variations in Care, 88 -- How Is Quality-of-Care Information Collected? 88 -- Evidence of Cancer Care Quality Problems, 90 -- Breast Cancer, 91 -- Prostate Cancer, 103 -- Key Findings, 108 -- 5 HEALTH CARE DELIVERY AND QUALITY OF CANCER CARE 116 -- Evaluating the Strength of Evidence from Health Services Research, 117 -- Case Volume for Hospitals or Individual Physicians, 118 -- High-Risk Cancer Surgery, 119 -- Prostate Cancer, 125 -- Breast Cancer Surgery, 126 -- Evidence on the Volume–Outcome Relationship from Other Countries, 126 -- Specialization, 128 -- Specialization of Facilities, 128 -- Specialization of Physicians, 130 -- Managed Care Versus Fee-for-Service Care, 133 -- Key Findings, 137 -- 6 CANCER CARE QUALITY ASSURANCE 144 -- Quality Assurance: An Individual Consumer Perspective, 145 -- Choosing Insurers, 145 -- Choosing Physicians and Hospitals, 146 -- Choosing Treatment Options, 148 -- Use of Quality Information by Consumers, 148 -- Quality Assurance: A Market Approach, 150 -- Quality Assurance: The Public-Sector Approach, 151 -- Health Care Financing Administration, 152 -- Public Health Monitoring, 154 -- Agency for Health Care Policy and Research, 154 -- Quality Assurance: The Health Care Professional Approach, 155 -- Joint Commission on Accreditation of Healthcare Organizations, 155 -- National Committee for Quality Assurance, 156 -- American Accreditation Health Care Commission, Inc./URAC, 158 -- Foundation for Accountability, 158 -- American College of Surgeons’ Commission on Cancer, 158 -- Association of Community Cancer Centers, 160 -- Quality Improvement Within Health Care Organizations, 163 -- Practice Guidelines, 164 -- Key Findings, 174 -- 7 HEALTH SERVICES RESEARCH IN CANCER CARE 180 -- What Is Health Services Research? 180 -- Status of Cancer-Related Health Services Research, 181 -- Research Support, 184 -- Federally Sponsored Research, 184 -- Department of Health and Human Services, 184 -- Department of Defense, 199 -- Department of Veterans Affairs, 202 -- Private Organizations Funding Research, 203 -- American Cancer Society, 203 -- The Cochrane Collaboration, 207 -- Key Findings, 207 -- 8 FINDINGS AND RECOMMENDATIONS 211 -- What Is the State of the Cancer Care “System”? 214 -- What Is Quality Cancer Care and How Is It Measured? 215 -- What Problems Are Evident in the Quality of Cancer Care and What Steps -- Can Be Taken to Improve Care? 216 -- How Can We Improve What We Know About the Quality of Cancer Care? 221 -- What Steps Can Be Taken to Overcome Barriers of Access to Quality Cancer Care? 223 -- GLOSSARY 226 -- ACRONYMS 231 -- INDEX 235 |
| Link for e-copy: |
http://www.nap.edu/openbook.php?record_id=6467&page=R1 |
| Format of e-copy: |
Webpage |
| Record link: |
https://kce.docressources.info/index.php?lvl=notice_display&id=2450 |
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Add the result to your basket Make a suggestion Refine your search Apply to external sourcesAdvantages, disadvantages and feasibility of the introduction of ‘Pay for Quality’ programmes in Belgium / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2009)
