The patient-centered oncology care on health care utilization and cost: A systematic review and meta-analysis

Background Optimal cancer care entails coordination among multiple providers and continued follow-up and surveillance over time. The patient-centered care brings opportunities to improve the delivery of cancer care. The adoption of patient-centered oncology care (PCOC) is in its infancy. Evidence synthesis on the model’s effectiveness is scant. Purposes This is the first systemic review and meta-analysis on associations of PCOC with cancer patients’ adverse health care utilization, cost, patient satisfaction, and quality of care. Methods Our study was guided by the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) framework. Quality appraisal was performed using Downs and Black’s quality checklist. Study-level effect sizes of adverse health care utilization were computed using Cohen’s d and summarized using forest plots. Funnel plots were constructed to examine publication bias. Results Of 334 studies that were reviewed, 10 met eligibility criteria and were included into the final analysis. Many included studies implemented almost all six of patient-centered care core attributes, plus three additional attributes that specifically addressed cancer patients’ needs, including triage pathways, standardized and evidence-based symptom management, as well as support patient navigation. PCOC patients had lower utilization of inpatient care (standardized means difference [SMD] = −0.027, p = .049). Overall positive effect of PCOC on emer...
Source: Health Care Management Review - Category: American Health Tags: Features Source Type: research