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Books > Medicine > Clinical & internal medicine > Diseases & disorders > Oncology
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Delivering High-Quality Cancer Care - Charting a New Course for a System in Crisis (Paperback)
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Delivering High-Quality Cancer Care - Charting a New Course for a System in Crisis (Paperback)
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In the United States, approximately 14 million people have had
cancer and more than 1.6 million new cases are diagnosed each year.
However, more than a decade after the Institute of Medicine (IOM)
first studied the quality of cancer care, the barriers to achieving
excellent care for all cancer patients remain daunting. Care often
is not patient-centered, many patients do not receive palliative
care to manage their symptoms and side effects from treatment, and
decisions about care often are not based on the latest scientific
evidence. The cost of cancer care also is rising faster than many
sectors of medicine-having increased to $125 billion in 2010 from
$72 billion in 2004-and is projected to reach $173 billion by 2020.
Rising costs are making cancer care less affordable for patients
and their families and are creating disparities in patients' access
to high-quality cancer care. There also are growing shortages of
health professionals skilled in providing cancer care, and the
number of adults age 65 and older-the group most susceptible to
cancer-is expected to double by 2030, contributing to a 45 percent
increase in the number of people developing cancer. The current
care delivery system is poorly prepared to address the care needs
of this population, which are complex due to altered physiology,
functional and cognitive impairment, multiple coexisting diseases,
increased side effects from treatment, and greater need for social
support. Delivering High-Quality Cancer Care: Charting a New Course
for a System in Crisis presents a conceptual framework for
improving the quality of cancer care. This study proposes
improvements to six interconnected components of care: (1) engaged
patients; (2) an adequately staffed, trained, and coordinated
workforce; (3) evidence-based care; (4) learning health care
information technology (IT); (5) translation of evidence into
clinical practice, quality measurement and performance improvement;
and (6) accessible and affordable care. This report recommends
changes across the board in these areas to improve the quality of
care. Delivering High-Quality Cancer Care: Charting a New Course
for a System in Crisis provides information for cancer care teams,
patients and their families, researchers, quality metrics
developers, and payers, as well as HHS, other federal agencies, and
industry to reevaluate their current roles and responsibilities in
cancer care and work together to develop a higher quality care
delivery system. By working toward this shared goal, the cancer
care community can improve the quality of life and outcomes for
people facing a cancer diagnosis. Table of Contents Front Matter
Summary 1 Introduction 2 The Current Cancer Care Landscape: An
Imperative for Change 3 Patient-Centered Communication and Shared
Decision Making 4 The Workforce Caring for Patients with Cancer 5
The Evidence Base for High-Quality Cancer Care 6 A Learning Health
Care Information Technology System for Cancer 7 Translating
Evidence into Practice, Measuring Quality, and Improving
Performance 8 Accessible and Affordable Cancer Care Appendix A:
Glossary Appendix B: Committee Member and Staff Biographies
General
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