相关实验视频
Updated: Jul 16, 2025
08:26
Author Spotlight: Advancing Personalized Medicine in Ovarian Cancer
Published on: February 23, 2024
2.0K
节省瘤护理风险安排的机会
Bruce E Landon1,2, Miranda B Lam3, Mary Beth Landrum1
1Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts.
JAMA health forum
|September 15, 2023
概括
负责任的护理组织 (ACOs) 可以通过将患者引导到高效的医疗瘤实践中来实现癌症护理节省. 在各个市场上存在巨大的支出差异,为降低成本提供了机会.
科学领域:
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
- 医疗保健政策 医疗保健政策
背景情况:
- 美国越来越多地采用替代支付模式,比如问责护理组织 (ACO) 和医疗保险优势 (MA).
- 在癌症治疗中,医疗保健支出高,在这些新的支付结构中为节省成本提供了重大机会.
研究的目的:
- 通过引导患者使用经济高效的医疗瘤实践,确定ACO和其他承担风险的组织的潜在节约.
- 分析不同地理区域 (医院转诊区域) 对癌症护理的支出变化.
主要方法:
- 使用癌症的医疗保险受益人 (2010-2018) 连续截面的观察性研究.
- 分析的重点是针对发生癌症或预后不良癌症的诊断后一年的总支出和按类别的支出.
- 数据分析时间为2021年8月至2023年3月.
主要成果:
- 该研究包括超过130万例癌症患者和140万预后不佳的癌症患者.
- 总的癌症护理支出从2009-2010年增加到2016-2017年. 显著的支出差异被观察到,最高四分位数的实践成本比最低四分位数高19%.
- 医院和B部分化疗是主要的成本驱动因素. 实践中的支出模式与去年相比仍然相对一致.
结论:
- 对于ACO和承担风险的实体来说,有机会通过引导患者转向成本更低的瘤实践来实现节约.
- 瘤实践数量的市场变化影响了转诊指导和成本管理的潜力.
相关概念视频
01:21Cancer Survival Analysis
381
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
381
02:49Cancer Therapies
7.7K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.7K
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
147
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
147
01:27Nursing Ethical Principles II
1.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.0K
02:50Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
02:56Treatment Resistant Cancers
3.3K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K