Guidance of healthcare development for metastatic cancer patients as an example for setting incentives

Haier, Jörg; Sleeman, Jonathan; Schäfers, Jürgen

doi:10.1007/s10585-019-10014-1

Cited by 4 publications

(8 citation statements)

References 4 publications

(4 reference statements)

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“…These incentive frameworks need to take into account the vulnerability of patients with advanced cancer, the often life-threatening course of their disease, as well as their dependence on costly diagnosis and treatment. In view of this, we suggest that for LMIC it may be beneficial to separate cancer care from other healthcare areas with regard to financial incentives and reimbursement schemes [ 2 ].…”

Section: Importance Of Incentives For Cancer Carementioning

confidence: 99%

Assessment of incentivizing effects for cancer care frameworks

Haier

Sleeman

Schäfers³

2020

Clin Exp Metastasis

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Section: Importance Of Incentives For Cancer Carementioning

confidence: 99%

Assessment of incentivizing effects for cancer care frameworks

Haier

Sleeman

Schäfers³

2020

Clin Exp Metastasis

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“…Similarly, the resulting consequences, such as treatment compliance, abandonment, the acceptance of care, impaired QoL, etc., depend on the specific environment of each cancer patient. This requires setting the right incentives to motivate all participating groups, including patients, healthcare providers, healthcare politicians and the society [99,100], and should be accompanied by evaluation strategies.…”

Section: Discussionmentioning

confidence: 99%

Economic Perspective of Cancer Care and Its Consequences for Vulnerable Groups

Haier

Schaefers

2022

Cancers

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Within healthcare systems in all countries, vulnerable groups of patients can be identified and are characterized by the reduced utilization of available healthcare. Many different reasons can be attributed to this observation, summarized as implementation barriers involving acceptance, accessibility, affordability, acceptability and quality of care. For many patients, cancer care is specifically associated with the occurrence of vulnerability due to the complex disease, very different target groups and delivery situations (from prevention to palliative care) as well as cost-intensive care. Sociodemographic factors, such as educational level, rural/remote location and income, are known determinants for these vulnerable groups. However, different forms of financial burdens likely influence this vulnerability in cancer care delivery in a distinct manner. In a narrative review, these socioeconomic challenges are summarized regarding their occurrence and consequences to current cancer care. Overall, besides direct costs such as for treatment, many facets of indirect costs including survivorship costs for the cancer patients and their social environment need to be considered regarding the impact on vulnerability, treatment compliance and abundance. In addition, individual cancer-related financial burden might also affect the society due to the loss of productivity and workforce availability. Healthcare providers are requested to address this vulnerability during the treatment of cancer patients.

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“…Healthcare development related to cancer burden requires strategic decisions and continuous monitoring. 7 , 8 , 9 Equitable healthcare in cancer concerns primarily towards reducing the geographical disparity regarding healthcare facilities, human resources, and economic ability, especially for most poor people living in remote/rural areas. For example, in 2015 the poor living in rural areas counted for ∼63% of all poor people in Indonesia with substantial inequalities in healthcare utilization.…”

Section: Introductionmentioning

confidence: 99%

“…Guiding referral and utilization of primary care were identified as key success factors for effective and efficient usage of available healthcare infrastructure and UHC achievement in Indonesia. 7 This investigation based on the entire JKN dataset focused on cancer care delivery processes under PHC and AHC conditions and included potential infrastructural and HRH factors to identify determinants of cancer care implementation. The aim of the current study was to identify key determinants that are relevant in guiding cancer care and to conclude on a cancer care development strategy for Indonesia.…”

Section: Introductionmentioning

confidence: 99%