Michigan Oncology Medical Home Demonstration Project: First-Year Results
Michigan Oncology Medical Home Demonstration Project: First-Year Results
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DOI：
10.1200/jop.2013.001365
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发表时间：
2014-09-01
影响因子：
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通讯作者：
Neumann, Kurt
中科院分区：
文献类型：
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作者：
Kuntz, Gordon;Tozer, Jane M.;Neumann, Kurt
2012年5月启动的密歇根州肿瘤医疗之家示范项目是一个创新的多执业肿瘤医疗之家模式，由支付改革支持。在该项目的第一年，四个肿瘤学实践（29名医生）参与并招募了85名接受癌症诊断化疗的患者（96名新的化疗开始）。通过为患者创建肿瘤医疗之家，该项目减少了与不必要的急诊室就诊和住院相关的费用，平均估计每位患者节省费用550美元，同时还增加了对提供者的支付。第一年的估计费用节省总额为46 228美元。除了通过减少急诊室就诊和住院实现的财务节省外，该计划还表明，参与的实践高度遵守国家和实践选择的指南，制定了预先护理计划，并提供了有效和标准化的症状管理。结果是有希望的，并提供证据表明，社区肿瘤学的做法将拥抱转变为以病人为中心的模式与适当调整的激励和行政援助。
Launched in May 2012, the Michigan Oncology Medical Home Demonstration Project is an innovative multipractice oncology medical home model supported by payment reform. In the first year of the project, four oncology practices (29 physicians) participated and enrolled 85 patients receiving chemotherapy for a cancer diagnosis (96 new chemotherapy starts). By creating an oncology medical home for patients, the project reduced costs associated with unnecessary emergency room visits and inpatient admissions, with an average estimated cost savings of $550 per patient, while also enhancing payments to providers. The total estimated cost savings for year 1 was $46,228. In addition to the financial savings realized through reductions in emergency room visits and hospitalizations, the program also demonstrated that participating practices had high adherence to national and practice-selected guidelines, instituted advance care planning, and provided effective and standardized symptom management. The results are promising and provide evidence that community oncology practices will embrace the transformation to a patient-centered model with properly aligned incentives and administrative assistance.