Resource and Reimbursement Barriers to Comprehensive Cancer Care Delivery: An Analysis of Association of Community Cancer Centers Survey Data.

Autor:	Benson AB 3rd; Northwestern Medicine, Chicago, IL.; Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL., Boehmer L; Association of Community Cancer Centers, Rockville, MD., Mi X; Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL., Kocherginsky M; Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL., Shivakumar L; Association of Community Cancer Centers, Rockville, MD., Trosman JR; Center for Business Models in Healthcare, Chicago, IL., Weldon CB; Center for Business Models in Healthcare, Chicago, IL., Tina Shih YC; Department of Health Services Research, University of Texas MD Anderson Cancer Center, Houston, TX., Hahn EA; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL., Kircher SM; Northwestern Medicine, Chicago, IL.; Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL.
Jazyk:	angličtina
Zdroj:	JCO oncology practice [JCO Oncol Pract] 2023 Mar; Vol. 19 (3), pp. e428-e438. Date of Electronic Publication: 2022 Dec 15.
DOI:	10.1200/OP.22.00417
Abstrakt:	Purpose: Comprehensive cancer care (CCC) delivery is recommended in guidelines and considered essential for high-quality cancer management. Barriers, such as insufficient reimbursement, prevent consistent access to and delivery of CCC. Association of Community Cancer Centers conducted a national survey to elucidate capacity and barriers to CCC delivery to inform policy and value-based payment reform. Methods: Survey methodology included item generation with expert review, iterative piloting, and cognitive validity testing. In the final instrument, 27 supportive oncology services were assessed for availability, reasons not offered, and coverage/reimbursement. Results: 204 of 704 member programs completed survey questions. Despite most services being reported as offered, a minority were funded through insurance reimbursement. The services least likely to obtain reimbursement were those that address practical and family/childcare needs (0.7%), caregiver support (1.5%), advanced care directives (1.7%), spiritual services (1.8%), and navigation (2.7%). These findings did not vary by region or practice type. Conclusion: There is a lack of sufficient reimbursement, staffing, and budget to provide CCC across the United States. Care models and reimbursement policies must include CCC services to optimize delivery of cancer care.
Databáze:	MEDLINE
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