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Is disease management right for oncology?
Kathryn M Kash1, Smiriti Sharma, Neil I Goldfarb
1Jefferson School of Population Health, Thomas Jefferson University, Philadelphia, PA 19107, USA. Kathryn.kash@jefferson.edu
Population Health Management
|December 30, 2009
Summary
Disease management (DM) models are effective for chronic conditions and are being adapted for cancer care. However, oncology DM faces challenges due to cancer
Area of Science:
- Oncology
- Health Services Research
- Chronic Disease Management
Background:
- Disease management (DM) models have proven effective for prevalent, high-cost chronic conditions.
- Increasing cancer prevalence and treatment costs are driving the adoption of DM in oncology.
- Existing DM models face challenges in adapting to the complexity of cancer care.
Purpose of the Study:
- To explore the application and challenges of disease management models in oncology.
- To identify key components of an effective oncology disease management program.
- To discuss the future of disease management in optimizing cancer care.
Main Methods:
- Review of existing literature on disease management in chronic conditions and oncology.
- Analysis of barriers and facilitators for implementing DM in cancer care.
- Identification of essential elements for successful oncology DM programs.
Main Results:
- Oncology DM faces significant barriers including cancer heterogeneity, treatment complexity, and patient adherence issues.
- Effective oncology DM programs must address symptoms like fatigue, pain, and psychological distress.
- Successful programs facilitate palliative care, informed decision-making, and improved patient-provider communication.
Conclusions:
- Adapting DM for oncology requires individualized approaches due to cancer's diverse nature.
- Integrated DM and medical management are crucial for optimal cancer care delivery.
- Future success in oncology DM depends on collaboration between DM vendors and health insurance providers.
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