Clinical implementation of value based healthcare: Impact on outcomes for lung cancer patients
Autor: | Peter Van Haecke, Ulrike Himpe, Ingel K. Demedts, Stephanie Dobbelaere, Hannelore Bode, Bernard Bouckaert, Geert Anthoons, Heidi Marien, Kris Carron, Jelle Bossuyt, Wim Verbeke |
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Rok vydání: | 2021 |
Předmět: |
Pulmonary and Respiratory Medicine
Cancer Research medicine.medical_specialty Lung Neoplasms business.industry Patient-centered outcomes Emergency department medicine.disease Systemic therapy Quality of life (healthcare) Oncology Value based healthcare Surveys and Questionnaires Emergency medicine Quality of Life Medicine Humans Patient-reported outcome Patient Reported Outcome Measures business Lung cancer Reporting system Delivery of Health Care |
Zdroj: | Lung cancer (Amsterdam, Netherlands). 162 |
ISSN: | 1872-8332 |
Popis: | Value based Healthcare (VBHC) focuses on patient centered outcomes, by incorporating Patient Reported Outcome Measures (PROMS). Expectations on the benefits of VBHC are high, but few data are available that validate its routine use. We wanted to investigate if VBHC is feasible and beneficial for lung cancer patients in clinical practice. METHOD We developed a digital transmural care pathway for lung cancer patients. During systemic therapy, patients digitally reported side effects weekly. Every six weeks, quality of life was reported trough EORTC questionnaires. Case-mix variables, treatment approaches and outcome indicators were systematically collected. We evaluated the compliance of the patients with the digitally reporting system and the impact of the care pathway on patient centered outcomes such as emergency department (ED) visits, time spent on the oncology day clinic, survival and quality of death. RESULTS 221 lung cancer patients were included in the care pathway. 3091 weekly questionnaires were digitally collected. Compliance with the weekly digital follow-up was 92%: 2835 of 3091 questionnaires were completed. Patients in the care pathway had significantly less ED visits (3.5% vs 4.8%, p 0.04) and a shorter length of stay at the day clinic (2.5 h vs 4.1 h, p |
Databáze: | OpenAIRE |
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