open access

Vol 11, No 1 (2015)
Other materials agreed with the Editors
Published online: 2015-03-12
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Defining value-driven care in head and neck oncology

Benjamin R. Roman, Mahmoud I. Awad, Snehal G. Patel
Onkol. Prak. Klin 2015;11(1):43-51.

open access

Vol 11, No 1 (2015)
Onkologia na świecie
Published online: 2015-03-12

Abstract

In the USA, increasing attention is being paid to adopting a value-based framework for measuring and ultimately improving health care delivery. Value is defined as the benefit achieved relative to costs. The numerator of the value equation includes quality of care and outcomes achieved. The denominator includes costs, both financial costs and harms of treatment. Herein, we describe these elements of value as they pertain to head and neck cancer. A particular focus is to identify areas of the value equation where physicians have some control. We examine quality in each of three dimensions: structure, process, and outcomes. We also adopt Porter’s three-tiered hierarchy of outcomes model, with specific outcomes relevant to patients with head and neck and thyroid cancer. Finally, we review issues related to costs and harms. We believe these findings can serve as a framework for further efforts to drive value-based delivery of head and neck cancer care.

Abstract

In the USA, increasing attention is being paid to adopting a value-based framework for measuring and ultimately improving health care delivery. Value is defined as the benefit achieved relative to costs. The numerator of the value equation includes quality of care and outcomes achieved. The denominator includes costs, both financial costs and harms of treatment. Herein, we describe these elements of value as they pertain to head and neck cancer. A particular focus is to identify areas of the value equation where physicians have some control. We examine quality in each of three dimensions: structure, process, and outcomes. We also adopt Porter’s three-tiered hierarchy of outcomes model, with specific outcomes relevant to patients with head and neck and thyroid cancer. Finally, we review issues related to costs and harms. We believe these findings can serve as a framework for further efforts to drive value-based delivery of head and neck cancer care.

Get Citation

Keywords

head and neck, cancer, value, quality, outcomes, health care costs

About this article
Title

Defining value-driven care in head and neck oncology

Journal

Oncology in Clinical Practice

Issue

Vol 11, No 1 (2015)

Article type

Other materials agreed with the Editors

Pages

43-51

Published online

2015-03-12

Bibliographic record

Onkol. Prak. Klin 2015;11(1):43-51.

Keywords

head and neck
cancer
value
quality
outcomes
health care costs

Authors

Benjamin R. Roman
Mahmoud I. Awad
Snehal G. Patel

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