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Value-Based Health Care for Prostate Cancer Centers by Implementing Specific Key Performance Indicators Using a
Jan Philipp Radtke1,2, Peter Albers1,3, Boris A Hadaschik4,5
1Department of Urology, Medical Faculty, Heinrich-Heine-University Düsseldorf, 40225 Düsseldorf, Germany.
This study introduces the first Balanced Scorecard (BSC) for prostate cancer (PC) treatment, offering a structured approach to improve value-based care. The developed BSC includes key performance indicators (KPIs) for comprehensive PC management and patient outcomes.
Area of Science:
- Oncology
- Healthcare Management
- Value-Based Medicine
Background:
- Prostate cancer (PC) is a leading cancer globally, necessitating improved diagnostics and treatments.
- Current challenges include a shortage of cost-effective diagnostics and universally safe treatment options.
- Value-based medicine requires instruments for consistent measurability, such as the Balanced Scorecard (BSC).
Purpose of the Study:
- To propose the first Balanced Scorecard (BSC) specifically designed for prostate cancer (PC) treatment.
- To identify Key Performance Indicators (KPIs) for assessing PC care performance across multiple dimensions.
Main Methods:
- A systematic literature search adhering to PRISMA guidelines was performed.
- Key Performance Indicators (KPIs) for PC care were identified from 44 selected reports.
- The study developed a PC-specific BSC incorporating established and novel perspectives.
Main Results:
- A PC-specific BSC was defined with four classic perspectives and a new PC-Specific Disease and Outcome perspective.
- Patient-related parameters from the German Cancer Society and ICHOM were integrated.
- The Learning and Development perspective includes KPIs for resident training and radical prostatectomy procedure metrics.
Conclusions:
- The developed BSC offers a comprehensive framework for Integrated Practice Units in PC care.
- It systematically collects and provides data for value creation, aligning with the Full Cycle of Care model.
- The BSC incorporates KPIs for structured training and metrics proven to improve PC patient outcomes.
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