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Article ; Online: Mending Disconnects in Cancer Care: Setting an Agenda for Research, Practice, and Policy.

Alfano, Catherine M / Mayer, Deborah K / Beckjord, Ellen / Ahern, David K / Galioto, Michele / Sheldon, Lisa K / Klesges, Lisa M / Aronoff-Spencer, Eliah / Hesse, Bradford W

JCO clinical cancer informatics

2020  Volume 4, Page(s) 539–546

Abstract: Cancer in the United States accounts for $600 billion in health care costs, lost work time and ... to equitably improve patient outcomes while constraining costs and burden on patients, caregivers, and care ... teams. Embedding learning health systems into oncology can connect care, engaging patients and providers ...

Abstract Cancer in the United States accounts for $600 billion in health care costs, lost work time and productivity, reduced quality of life, and premature mortality. The future of oncology delivery must mend disconnects to equitably improve patient outcomes while constraining costs and burden on patients, caregivers, and care teams. Embedding learning health systems into oncology can connect care, engaging patients and providers in fully interoperable data systems that remotely monitor patients; generate predictive and prescriptive analytics to facilitate appropriate, timely referrals; and extend the reach of clinicians beyond clinic walls. Incorporating functional learning systems into the future of oncology and follow-up care requires coordinated national attention to 4 synergistic strategies: (1) galvanize and shape public discourse to develop and adopt these systems, (2) demonstrate their value, (3) test and evaluate their use, and (4) reform policy to incentivize and regulate their use.
MeSH term(s) Caregivers ; Humans ; Medical Oncology ; Neoplasms/diagnosis ; Neoplasms/therapy ; Policy ; Quality of Life ; United States
Language English
Publishing date 2020-06-15
Publishing country United States
Document type Journal Article ; Research Support, Non-U.S. Gov't
ISSN 2473-4276
ISSN (online) 2473-4276
DOI 10.1200/CCI.20.00046
Database MEDical Literature Analysis and Retrieval System OnLINE

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