Defining value-driven care in head and neck oncology Journal Article


Authors: Roman, B. R.; Awad, M. I.; Patel, S. G.
Article Title: Defining value-driven care in head and neck oncology
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.
Keywords: united states; evidence based medicine; evidence-based medicine; health care quality; health care cost; economics; head and neck neoplasms; health care costs; cost-benefit analysis; health care delivery; quality of health care; cost benefit analysis; delivery of health care; standards; humans; human
Journal Title: Current Oncology Reports
Volume: 17
Issue: 1
ISSN: 1523-3790
Publisher: Springer  
Date Published: 2015-01-01
Start Page: 424
Language: English
DOI: 10.1007/s11912-014-0424-y
PROVIDER: scopus
PUBMED: 25416318
DOI/URL:
Notes: Export Date: 2 January 2015 -- Article: 424 -- 8 page article -- Source: Scopus
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  1. Snehal G Patel
    412 Patel
  2. Benjamin Raphael Roman
    75 Roman
  3. Mahmoud Issam Awad
    10 Awad