Shih Ya-Chen Tina, Hurria Arti
From the Section of Hospital Medicine, Department of Medicine, Program in the Economics of Cancer, University of Chicago, Chicago IL; Department of Medical Oncology and Therapeutics Research, City of Hope, Duarte, CA.
Am Soc Clin Oncol Educ Book. 2014:133-7. doi: 10.14694/EdBook_AM.2014.34.133.
The Institute of Medicine's (IOM) Committee on Improving the Quality of Cancer Care: Addressing the Challenges of an Aging Population was charged with evaluating and proposing recommendations on how to improve the quality of cancer care, with a specific focus on the aging population. Based on their findings, the IOM committee recently released a report highlighting their 10 recommendations for improving the quality of cancer care. Based on those recommendations, this article highlights ways to improve evidence-based care and addresses rising costs in health care for older adults with cancer. The IOM highlighted three recommendations to address the current research gaps in providing evidence-based care in older adults with cancer, which included (1) studying populations which match the age and health-risk profile of the population with the disease, (2) legislative incentives for companies to include patients that are older or with multiple morbidities in new cancer drug trials, and (3) expansion of research that contributes to the depth and breadth of data available for assessing interventions. The recommendations also highlighted the need to maintain affordable and accessible care for older adults with cancer, with an emphasis on finding creative solutions within both the care delivery system and payment models in order to balance costs while preserving quality of care. The implementation of the IOM's recommendations will be a key step in moving closer to the goal of providing accessible, affordable, evidence-based, high-quality care to all patients with cancer.
美国医学研究所（IOM）的改善癌症护理质量委员会：应对老龄化人口的挑战负责评估并就如何提高癌症护理质量提出建议，特别关注老龄化人口。基于他们的研究结果，IOM委员会最近发布了一份报告，突出了他们提高癌症护理质量的10项建议。基于这些建议，本文着重介绍了改善循证护理的方法，并探讨了老年癌症患者医疗保健费用不断上涨的问题。IOM强调了三项建议，以解决目前在为老年癌症患者提供循证护理方面的研究差距，其中包括：（1）研究与患病人群年龄和健康风险特征相匹配的人群；（2）通过立法激励企业在新的癌症药物试验中纳入老年或患有多种疾病的患者；（3）扩大有助于评估干预措施的数据深度和广度的研究。这些建议还强调了为老年癌症患者维持可负担且可及的护理的必要性，重点是在护理提供系统和支付模式中寻找创新解决方案，以便在保持护理质量的同时平衡成本。实施IOM的建议将是朝着为所有癌症患者提供可及、可负担、循证、高质量护理这一目标迈进的关键一步。
