Medicare's Future: Cancer Care

Medicare's Future: Cancer Care
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DOI:
10.1377/hlthaff.28.1.148
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发表时间:
2009-01-01
期刊:
影响因子:
9.7
通讯作者:
Etheredge, Lynn M.
Etheredge, Lynn M.
中科院分区:
医学1区
文献类型:
--
作者:
Etheredge, Lynn M.

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本文提出了一项针对癌症患者的国家医疗倡议。它将包括(1)一个快速学习系统,以比较有效;(2)一个质量衡量系统;和(3)支付改革,以奖励高质量的护理。在实施这一战略的过程中,S.卫生与公众服务部(HHS)将广泛使用新的计算机化数据库进行临床研究和质量测量。国家全面执行需要立法。类似的举措可以在医疗保险的其他优先领域开始。医疗保险可以成为推动高质量、有效医疗保健的国家领导者。[Health Affairs 28,no. 1(2009):148-159; 10.1377/hlthaff.28.1.148]
This paper proposes a national initiative for Medicare patients with cancer. It would include (1) a rapid-learning system for comparative effectiveness; (2) a quality measurement system; and (3) payment reforms to reward high-quality care. In implementing this strategy, the U. S. Department of Health and Human Services (HHS) would make extensive use of new computerized databases for clinical research and quality measurement. Legislation will be needed for full national implementation. Similar initiatives could be started for other priority areas in Medicare. Medicare could become a national leader in advancing high-quality, effective care. [Health Affairs 28, no. 1 (2009): 148-159; 10.1377/hlthaff.28.1.148]