患者对基于价值的癌症护理成本和质量措施的看法
Alan Balch1, Michael Lahm2, Kimberly D Brunisholz3
1Patient Advocate Foundation, Hampton, VA, United States.
Health affairs scholar
|March 9, 2026
概括
患者希望基于价值的护理 (VBC) 模式的透明度,以确保优质的癌症治疗与他们的偏好保持一致. 了解患者优先事项对于瘤学中有效的基于价值的支付至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 基于价值的支付 (VBP) 模式在医疗保健中越来越多地实施.
- 将VBP激励与以患者为中心的癌症护理相协调,需要了解患者的观点.
- 医疗保险的增强瘤模型包括常见的癌症,如多发性骨髓瘤,膀,肺和前列腺.
研究的目的:
- 在基于价值的护理 (VBC) 模型中探索患者对质量和成本指标的观点.
- 在VBC框架内确定癌症护理的患者优先事项.
- 评估患者对VBC对瘤护理的影响的认识.
主要方法:
- 定性研究涉及4个虚拟焦点组 (n=20) 和1个共同创作会议 (n=6).
- 参与者是医疗保险和四种常见癌症之一的患者.
- 数据收集的重点是确定癌症护理中重要的成本和质量方面.
主要成果:
- 患者表示对VBC缺乏认识,并担心金融激励会影响瘤护理.
- 焦点小组参与者将共享决策和治疗有效性确定为关键质量指标.
- 共同创作参与者强调需要更好地意识到VBP的激励影响.
结论:
- 癌症患者需要VBC动态的透明度,以保持患者与医生的关系.
- 透明度对于确保获得创新,负担得起和可访问的癌症护理至关重要.
- 患者的意见对于使VBP模型与瘤学中以患者为中心的目标保持一致至关重要.
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