金融毒性订单组:实施简单的干预措施,以更好地将患者与资源联系起来
Bridgette Thom1,2, Stefania Sokolowski1,3, Nadeem R Abu-Rustum4,5
1Affordability Working Group, Memorial Sloan Kettering Cancer Center, New York, NY.
JCO oncology practice
|June 15, 2023
概括
一个基于医院的电子医疗记录转介系统有效地将面临经济困难的癌症患者与援助计划联系起来,获得了超过85万美元的援助. 这项质量改进项目突出了癌症治疗财务毒性的医院级干预的可行性.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 财务毒性是癌症患者的重大负担,对医院级干预措施的研究有限.
- 现有的转诊机制往往无法将患者与必要的经济援助计划联系起来.
研究的目的:
- 开发,测试和实施一套电子医疗记录 (EMR) 订单,用于直接将患者推送到医院金融援助计划.
- 评估医院级干预措施的可行性和有效性,以减轻癌症治疗的财务毒性.
主要方法:
- 在三年内 (2019年3月至2022年2月) 使用了三个周期的计划-做-研究-行动 (PDSA) 过程.
- 该项目涉及评估当前的转诊实践,试点一个EMR订单集,并在机构范围内实施它.
- 收集的数据包括转诊号码,患者人口统计数据和担保的财政援助金额.
主要成果:
- 大约25%的患者经历了经济困难,最初的资源连接率很低.
- 试点EMR推订单组是可行的,并得到了提供商的好评.
- 在12个月的时间里,670名患者的718个转诊结果为38名患者提供了至少85万美元的财政援助.
结论:
- 使用EMR转诊系统的多学科,医院级干预是可行的,有效地解决癌症患者的财务毒性.
- 简单的转诊机制可以使医疗保健提供者能够将患者与重要的财务资源联系起来.
- 这项质量改进项目证明了成功的策略,以减轻癌症护理的财务负担.
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