Download Assessing and Improving Value in Cancer Care: Workshop by Institute of Medicine, Board on Health Care Services, PDF

By Institute of Medicine, Board on Health Care Services, National Cancer Policy Forum, Adam Schickedanz

In contrast to many different components in future health care, the perform of oncology provides detailed demanding situations that make assessing and enhancing price specifically advanced. First, sufferers and execs consider a well-justified feel of urgency to regard for remedy, and if therapy isn't attainable, to increase existence and decrease the weight of ailment. moment, remedies are usually either lifestyles sparing and hugely poisonous. 3rd, designated fee constructions for melanoma medicinal drugs are intertwined with perform. Fourth, companies usually face super strain to use the latest applied sciences to sufferers who fail to answer verified remedies, even if the proof assisting these applied sciences is incomplete or doubtful, and services should be reluctant to forestall poisonous remedies and stream to palliation, even on the finish of lifestyles. eventually, the latest and such a lot novel remedies in oncology are one of the most expensive in medication. This quantity summarizes the result of a workshop that addressed those matters from a number of views, together with these of sufferers and sufferer advocates, services, insurers, well-being care researchers, federal firms, and undefined. Its wide target was once to explain worth in oncology in a whole and nuanced approach, to higher tell judgements relating to constructing, comparing, prescribing, and deciding to buy melanoma therapeutics.

Show description

Read or Download Assessing and Improving Value in Cancer Care: Workshop Summary PDF

Similar health policy books

Placing Health: Neighbourhood Renewal, Health Improvement And Complexity

The place humans dwell concerns to their well-being. healthiness development ideas usually aim the place humans reside, yet do they paintings? "Placing overall healthiness" tackles this question via exploring new theoretical, empirical and perform views in this factor, anchored by means of significant experiences of England's Neighbourhood Renewal approach and the Programme for motion on healthiness inequalities.

Migration and the Globalisation of Health Care: The Health Worker Exodus?

The foreign migration of medical examiners has been defined by means of Nelson Mandela because the 'poaching' of desperately wanted talents from under-privileged areas. This e-book examines the debatable fresh historical past of expert migration, and explores the commercial and cultural cause in the back of this upward push of a posh international marketplace in certified migrants and its multifaceted results.

Two Centuries of Solidarity: Social Health Insurance in Germany, Belgium and the Netherlands 1770-2008

Medical health insurance is a key section of the present social protection procedure in ecu Union international locations. In so much international locations, smooth medical insurance cash and healthiness care insurers are a vital position in enforcing the general public medical health insurance method. lots of those sleek medical insurance cash have a desirable and lengthy ancestry, transparent lines of which are obvious this present day within the corporation of nationwide medical insurance, in addition to the constitution of medical health insurance cash and insurers.

Integrating Healthcare with Information and Communications Technology

This e-book units out to reply to the most important query of the way healthcare services can movement from a fragmented to an built-in provision, together with how ICT be used to boost a marketplace strategy - type and selection of carrier services for sufferers - opposed to a history of institutionalised and ingrained practices.

Extra resources for Assessing and Improving Value in Cancer Care: Workshop Summary

Example text

McCabe often noticed that patients and their families would talk about their concerns with nurses outside of the exam room, outside of the clinic, or in the hospital hall after the physicians had left. The questions often involved how to maximize quality of life in the time remaining and sometimes included the issue of cost of treatment and care. These are the conversations that need to be brought back into the room before the physician leaves. Too often, clinical teams, patients, and families encounter conflicts at the end of life because the conversations that should have taken place never did, or they become subsumed within other very urgent discussions, such as the discussion to obtain a do-not-resuscitate order.

Once the FDA gives its blessing, oncologists in the community decide whether evidence for a treatment is actually sufficient to change practice based on guidelines, relevant literature, marketing, and other resources that may represent a different standard than that required for drug approval. Dr. Sargent asked, is the current practice for evaluating efficacy reasonable? Yes, he said, because there is input from many parties, it is gathered in an organized manner, and there are clear, well-accepted standards by which therapies must demonstrate efficacy.

By tiering the drugs with differences in copays, the PBM has a lever to negotiate discounts with the manufacturer. If a drug is placed on a tier with a lower co-pay, then the manufacturer can expect to get a bigger share of the market, and manufacturers are willing Copyright © National Academy of Sciences. All rights reserved. Assessing and Improving Value in Cancer Care: Workshop Summary 36 assessing and improving value in cancer care to give discounts in return for this preferred formulary status.

Download PDF sample

Rated 4.70 of 5 – based on 42 votes