An Opportunity for Coordinated Cancer Care

作者: Lauren G. Collins , Richard Wender , Marc Altshuler

DOI: 10.1097/PPO.0B013E3181FEEE9A

关键词: WorkforceAmbulatory careNursingQuality (business)IncentiveFamily medicineHealth care reformHealth carePaymentCancerMedicineCancer researchOncology

摘要: The US health care system has become increasingly unsustainable, threatened by poor quality and spiraling costs. Many Americans are not receiving recommended preventive care, including cancer screening tests. Passage of the Affordable Care Act in March 2010 potential to reverse this course increasing access primary providers, extending coverage affordability insurance, instituting proven measures. In order for reform succeed, it will require a stronger workforce, new emphasis on patient-centered payment incentives that reward over quantity. Innovations such as medical homes, accountable organizations, improved reporting methods central features redesigned delivery ultimately change face United States.

参考文章(41)
Ichiro Kawachi, Barbara Starfield, Bruce Kennedy, Leiyu Shi, Income inequality, primary care, and health indicators. Journal of Family Practice. ,vol. 48, pp. 275- 284 ,(1999)
Kevin Fiscella, Peter Franks, Primary care physicians and specialists as personal physicians: health care expenditures and mortality experience Journal of Family Practice. ,vol. 47, pp. 105- 109 ,(1998)
Narissa J. Nonzee, Karen A. Fitzner, June M. McKoy, Cara C. Tigue, Charles L. Bennett, Beatrice J. Edwards, Motasem Alkhatib, Carlos R. Bolden, Cost considerations in the management of cancer in the older patient. Oncology. ,vol. 21, pp. 851- 857 ,(2007)
Richard G Roetzheim, Robert J Campbell, Arnold M Ramirez, Kimberly Perez, Cervical cancer rates and the supply of primary care physicians in Florida. Family Medicine. ,vol. 35, pp. 60- 64 ,(2003)
R. G. Roetzheim, J. M. Ferrante, E. C. Gonzalez, N. Pal, J. Z. Ayanian, J. P. Krischer, D. J. Van Durme, The effects of physician supply on the early detection of colorectal cancer. Journal of Family Practice. ,vol. 48, pp. 850- 858 ,(1999)
Elizabeth O'Toole, Mary M. Step, Kathryn Engelhardt, Steven Lewis, Julia Hannum Rose, The Role of Primary Care Physicians in Advanced Cancer Care: Perspectives of Older Patients and Their Oncologists Journal of the American Geriatrics Society. ,vol. 57, pp. 265- 268 ,(2009) , 10.1111/J.1532-5415.2009.02508.X
Menon Nk, Single-handed practice--the reality. British Journal of General Practice. ,vol. 52, pp. 56- 56 ,(2002)
James A. Hayman, Kenneth M. Langa, Mohammed U. Kabeto, Steven J. Katz, Sonya M. DeMonner, Michael E. Chernew, Mitchell B. Slavin, A. Mark Fendrick, Estimating the Cost of Informal Caregiving for Elderly Patients With Cancer Journal of Clinical Oncology. ,vol. 19, pp. 3219- 3225 ,(2001) , 10.1200/JCO.2001.19.13.3219
Richard C. Wender, Marc Altshuler, Can the medical home reduce cancer morbidity and mortality Primary Care. ,vol. 36, pp. 845- 858 ,(2009) , 10.1016/J.POP.2009.07.009
Barbara Starfield, Primary Care and Health JAMA. ,vol. 266, pp. 2268- 2271 ,(1991) , 10.1001/JAMA.1991.03470160100040