Delivering High-Quality Cancer Care Charting a New Course for a System in Crisis (2013) / Chapter Skim
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Appendix A: Glossary
Appendix A: Glossary
Pages 357-370
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From page 357... ...
-- groups of clinicians that voluntarily assume responsibility for the care of a population of patients that share payer savings if they meet quality and cost performance benchmarks (RAND, 2011) Accreditation -- a process whereby a professional association or nongovernmental agency grants recognition to a school or health care institution for demonstrated ability to meet predetermined criteria for established standards (AHRQ, 2012a)
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From page 358... ...
Cancer care continuum -- the trajectory from cancer prevention and risk reduction, through screening, diagnosis, treatment, survivorship, and end-of-life care (adapted from NCI, 2013a) Cancer care team -- includes individuals with specialized training in oncology, such as oncologists and oncology nurses, other specialists, and primary care clinicians, as well as family caregivers and direct care workers (see Chapter 4)
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From page 359... ...
Clinical practice guidelines (CPGs) -- statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options (IOM, 2011a)
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From page 360... ...
Coverage with evidence development (CED) -- a policy tool in which payers agree to conditionally cover new medical technologies, provided that manufacturers conduct additional research to support more informed coverage decisions (CMTP, 2013)
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From page 361... ...
Health literacy -- the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health care decisions (IOM, 2004) Hospice care -- the most intensive form of palliative care; a service delivery system that provides palliative care for patients who have a limited life expectancy and require comprehensive biomedical, psychosocial, and spiritual support as they enter the terminal stage of an illness or condition.
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From page 362... ...
Learning health care information technology (IT) system -- a health care system that uses advances in information technology to continuously and automatically collect and compile the evidence needed to deliver the best, most up-to-date personalized care for each patient from clinical practice, disease registries, clinical trials, and other information sources.
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From page 363... ...
; understand the patient within his or her own psychological and social context; reach a shared understanding of the patient's problem and its treatment; help a patient share power by offering him or her meaningful involvement in choices relating to his or her health; build a stronger patient-clinician relationship characterized by mutual trust, respect, and commitment; and enhance the patient's well-being to reduce suffering after the patient leaves the consultation (adapted from Epstein and Street, 2007) Patient-clinician interactions -- the communication, shared decision making, and provision of care that occurs between patients and their care teams (see Chapter 3)
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From page 364... ...
Performance improvement initiatives -- systematic, data-guided activities designed to bring about immediate, positive change in the delivery of health care in a particular setting (Baily, 2008) Preferences -- a patient's concerns, expectations, and choices regarding health care, based on a full and accurate understanding of care options (adapted from IOM, 2001, 2003)
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From page 365... ...
. Systemic radiotherapy uses a radioactive substance, such as a radiolabeled monoclonal antibody, that circulates throughout the body, also called radiation therapy (NCI, 2012)
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From page 366... ...
It seeks both to prevent and to control adverse cancer diagnosis and treatment-related outcomes, such as late effects of treatment, second cancers, and poor quality of life; to provide a knowledge base regarding optimal follow-up care and surveillance of cancers; and to optimize health after cancer treatment (IOM and NRC, 2005) Systematic review -- a scientific investigation that focuses on a specific question and uses explicit, planned scientific methods to identify, select, assess, and summarize the findings of similar but separate studies.
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From page 367... ...
Values -- a patient's concerns, expectations, and choices regarding health care, based on a full and accurate understanding of care options (adapted from IOM, 2001, 2003) Vulnerable and underserved -- people who may have difficulty accessing high-quality cancer care, including but not limited to racial and ethnic minorities, older adults, individuals living in rural and urban underserved areas, uninsured and underinsured individuals, and populations of lower socioeconomic status (see Chapter 8)
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From page 368... ...
2009b. Initial national priorities for comparative effectiveness research.
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From page 369... ...
1996. Valuing health care: Costs, benefits, and effectiveness of pharmaceuticals and other medical technologies.
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Key Terms
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