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来源类型 | Brief |
规范类型 | 简报 |
Shared Decisions in Cancer Care: Is Medicare Providing a Model? | |
Michael L. Millenson; Robert A. Berenson | |
发表日期 | 2017-04-23 |
出版年 | 2017 |
语种 | 英语 |
概述 | Medicare’s Oncology Care Model (OCM) is designed to incentivize providers to reduce unnecessary spending, improve care, and involve patients more closely in decisions aboutthe use of chemotherapy. The model includes a 13-point care plan recommended by the Institute of Medicine (IOM) that represents a significant step toward making patients partners in their own care; in particular, it aims the volume of OCM |
摘要 | Medicare’s Oncology Care Model (OCM) is designed to incentivize providers to reduce unnecessary spending, improve care, and involve patients more closely in decisions about
the use of chemotherapy. The model includes a 13-point care plan recommended by the Institute of Medicine (IOM) that represents a significant step toward making patients partners in their own care; in particular, it aims the volume of OCM episodes by reducing overly aggressive use of chemotherapy and underuse of hospice services among patients who are close to death. However, IOM recommendations since 1999 and recent medical literature suggest that a formal shared decision-making process (SDM) remains vitally important. This paper discusses the rationale for and barriers to adopting a more formal SDM. We recommend that SDM be added to the OCM in at least a subset of cancers and/or oncology practices before the demonstration program ends in 2021.
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主题 | Health and Health Policy |
URL | https://www.urban.org/research/publication/shared-decisions-cancer-care-medicare-providing-model |
来源智库 | Urban Institute (United States) |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/479690 |
推荐引用方式 GB/T 7714 | Michael L. Millenson,Robert A. Berenson. Shared Decisions in Cancer Care: Is Medicare Providing a Model?. 2017. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
2001242-shared_decis(258KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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