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Related Concept Videos

Tertiary Healthcare System01:21

Tertiary Healthcare System

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Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

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Health System and Beneficiary Costs Associated With Intensive End-of-Life Medical Services.

Risha Gidwani-Marszowski1,2,3, Steven M Asch2,3, Vincent Mor4,5

  • 1Health Economics Resource Center, VA Palo Alto Health Care System, Menlo Park, California.

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Intensive medical services in the last month of life for cancer patients significantly increase health system costs by over $15,000 per patient. These costly end-of-life treatments also impose substantial financial burdens on beneficiaries.

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Area of Science:

  • Health Economics
  • Oncology
  • Geriatrics

Background:

  • Despite guidelines, intensive medical treatments are frequently used for cancer patients nearing end of life.
  • This practice contributes to significant healthcare expenditures.

Purpose of the Study:

  • To quantify the financial costs associated with intensive medical services received by cancer patients in their final month of life.
  • To evaluate these costs for both healthcare beneficiaries and the broader health system.

Main Methods:

  • Retrospective cohort study using national Medicare and Veterans Health Administration data (2010-2014).
  • Included 48,937 adults aged 66+ with solid tumors who died during the study period.
  • Analyzed costs based on American Society of Clinical Oncology metrics for intensive services in the last month of life.

Main Results:

  • Over half (58.9%) of patients received at least one intensive service.
  • Intensive services increased health system costs by an average of $15,952 per patient.
  • Intensive care unit (ICU) stays were the largest cost driver, while chemotherapy was the smallest.

Conclusions:

  • Medically intensive services at the end of life represent a substantial financial burden for the healthcare system and beneficiaries.
  • Physicians and families should consider the significant financial implications of these treatments.