Loehrer Andrew P, Chang George J
Department of Surgery Oncology, University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1484, PO Box 301402, Houston, TX 77098, USA.
Department of Surgery Oncology, University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1484, PO Box 301402, Houston, TX 77098, USA; Department of Health Services Research, University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1484, PO Box 301402, Houston, TX 77098, USA.
Surg Oncol Clin N Am. 2018 Oct;27(4):603-614. doi: 10.1016/j.soc.2018.05.001. Epub 2018 Jul 21.
The Patient Protection and Affordable Care Act increased health insurance coverage to millions in the United States, transformed both the private and public insurance markets, and invested in care delivery changes in an attempt to increase the quality and value of health care. How these changes have translated to improved long-term oncologic outcomes, including for survivorship, remains to be seen. Newer models of payment and care delivery attempt to improve both short-term and long-term quality while better controlling cost trends. The extent to which cancer care delivery will be affected also needs further study and optimization.
《患者保护与平价医疗法案》使美国数百万人获得了医疗保险，改变了私人和公共保险市场，并投资于医疗服务的变革，试图提高医疗保健的质量和价值。这些变化如何转化为长期肿瘤治疗效果的改善，包括对幸存者的治疗效果，仍有待观察。更新的支付和医疗服务模式试图在更好地控制成本趋势的同时，提高短期和长期质量。癌症医疗服务将受到何种程度的影响也需要进一步研究和优化。
