Patient engagement on claims-registry reports of cost and quality
| Autor: | Courtney J. Preusse, Scott D. Ramsey, Gary H. Lyman, Margaret Leigh Pate, Diane Mapes, Keith D. Eaton, J. Freeman-Daily, Karma L. Kreizenbeck, Sarah Barger, Catherine R. Fedorenko, Julia Rose Walker, Laura Panattoni, Mikael Anne Greenwood-Hickman |
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| Rok vydání: | 2017 |
| Předmět: |
Cancer Research
Episode of care Cost estimate business.industry media_common.quotation_subject Stakeholder Patient engagement medicine.disease Cancer registry Breast cancer Oncology Medicine Quality (business) Medical emergency business Working group health care economics and organizations media_common |
| Zdroj: | Journal of Clinical Oncology. 35:159-159 |
| ISSN: | 1527-7755 0732-183X 2007-2015 |
| Popis: | 159 Background: Moving cancer care towards a value framework requires patients, providers, and payers to weigh cost, quality, and outcomes in decision-making. Many efforts are underway to help providers and payers make value decisions, but little has been developed for patients. Our regional value in cancer care effort used a claims-registry database to develop quality and cost reports aiming to provide actionable data to all stakeholders. Methods: Reports were generated using cancer registry records for Western WA from 2007-2015 linked with claims from two regional commercial insurers. Patients were presented quality reports on regionally prioritized metrics and the 2012 ASCO Choosing Wisely guidelines on breast cancer surveillance and EOL care. Patients also reviewed cost reports for episodes of care (diagnosis, treatment, end-of-life (EOL)) and out-of-pocket (OOP) cost estimates. Feedback stemmed from 1) stakeholder meetings over a 2-year period, 2) working groups of patients, payers and providers, and 3) an annual regional meeting on value in cancer care. Results: In total, 13 patients provided feedback at one or more outreach event. See table. Conclusions: Reports from a claims-registry database may not support the information needs of patients for care decision-making or representing “value”. Patients desired understanding more about patients “like them” for decision-making. [Table: see text] |
| Databáze: | OpenAIRE |
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