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2014 ; 32
(26
): 2864-70
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Value: a framework for radiation oncology
#MMPMID25113759
Teckie S
; McCloskey SA
; Steinberg ML
J Clin Oncol
2014[Sep]; 32
(26
): 2864-70
PMID25113759
show ga
In the current health care system, high costs without proportional improvements
in quality or outcome have prompted widespread calls for change in how we deliver
and pay for care. Value-based health care delivery models have been proposed.
Multiple impediments exist to achieving value, including misaligned patient and
provider incentives, information asymmetries, convoluted and opaque cost
structures, and cultural attitudes toward cancer treatment. Radiation oncology as
a specialty has recently become a focus of the value discussion. Escalating costs
secondary to rapidly evolving technologies, safety breaches, and variable,
nonstandardized structures and processes of delivering care have garnered
attention. In response, we present a framework for the value discussion in
radiation oncology and identify approaches for attaining value, including
economic and structural models, process improvements, outcome measurement, and
cost assessment.
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