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Review Article: Patient Centered Specialty Practice: A Value Based Care Solution for Urology Groups.

Alec S Koo1, Dana L Jacoby2

  • 1Skyline Urology, Torrance, California.

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Summary

Patient centered specialty practices in urology can improve cancer care quality and patient satisfaction while reducing costs. These specialized practices are well-suited to serve as primary medical homes for urological conditions.

Keywords:
Medicare Access and CHIP Reauthorization Act of 2015patient-centered careprostatic neoplasmsurology

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Area of Science:

  • Urology
  • Oncology
  • Healthcare Management

Background:

  • Patient-centered medical homes (PCMH) are standard for care coordination.
  • Urology groups, as patient-centered specialty practices (PCSP), are better suited for specific conditions.
  • Assessing urology's role in PCMH is crucial for developing implementation strategies.

Purpose of the Study:

  • To evaluate the current involvement of urology within the PCMH model.
  • To propose strategies for urology-based PCSPs to become primary care points for advanced urological diseases.

Main Methods:

  • A systematic literature review of PubMed®/MEDLINE® from database inception to 2017.
  • Inclusion of studies on urology in PCMH, and relevant governmental/agency reports.

Main Results:

  • Rising cancer care costs without improved patient outcomes or satisfaction.
  • Shift towards value-based payments and patient-centered models in oncology.
  • PCSP oncology models may reduce financial burdens and enhance care quality/satisfaction.

Conclusions:

  • Urology practices can adopt high-quality cancer care standards (e.g., National Academies, CMS).
  • Achieving National Committee for Quality Assurance recognition positions urology practices as PCSPs.
  • These recognized PCSPs can serve as primary medical homes for chronic urological conditions.