继承性癌症患者在多基因组测试时代产生的下游收入
Caitlin B Mauer Hall1, Brian D Reys2, Amber P Gemmell2
1Department of Health Care Sciences, University of Texas Southwestern Medical Center, Dallas, TX.
JCO oncology practice
|May 30, 2024
概括
遗传咨询师识别遗传性癌症患者,为机构产生大量下游收入 (DSR). 新患者和未受影响的患者代表了增加DSR和改善患者治疗结果的关键机会.
科学领域:
- 在瘤学瘤学.
- 遗传学 是一个遗传学.
- 医疗保健经济学 医疗保健经济学
背景情况:
- 遗传性癌症综合征需要加强医疗监测和管理.
- 多基因组是基因测试的标准,可以识别更多的风险人群.
- 遗传咨询师 (GCs) 在管理具有遗传癌症风险的患者中发挥着至关重要的作用.
研究的目的:
- 为了计算由遗传咨询师鉴定出具有遗传性癌症可能致病/致病变体 (LPV/PVs) 的患者产生的下游收入 (DSR).
- 评估遗传咨询对医疗机构的财务影响.
主要方法:
- 在癌症遗传学诊所对患者的回顾性图表审查 (2009-2021年).
- 在GC访问之前和之后计算DSR和工作相对值单位 (wRVU).
- 亚组分析包括癌症受影响/未受影响和新/已确定的患者.
主要成果:
- 978名患者在GC访问后产生了7306万美元的DSR和54,814个wRVU.
- 没有受影响的患者产生了11.38M美元的DSR;受影响的患者产生了61.68M美元的DSR.
- 新患者产生了1539万美元的DSR,未受影响的新患者贡献了548万美元.
结论:
- 遗传咨询师通过识别遗传性癌症患者,为机构DSR做出了重大贡献.
- 新和未受影响的患者提供了最高的附加值,代表了新的收入来源.
- 扩大基因测试将增加对下游服务的需求,改善结果和收入.
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