癌症患者导航：支持临床需求的商业案例。
Patient Navigation in Cancer: The Business Case to Support Clinical Needs.
机构信息
Centers for Medicare & Medicaid Services, Baltimore, MD.
University of Alabama at Birmingham, Birmingham, AL.
出版信息
J Oncol Pract. 2019 Nov;15(11):585-590. doi: 10.1200/JOP.19.00230. Epub 2019 Sep 11.
PURPOSE
Patient navigation (PN) is an increasingly recognized element of high-quality, patient-centered cancer care, yet PN in many cancer programs is absent or limited, often because of concerns of extra cost without tangible financial benefits.
METHODS
Five real-world examples of PN programs are used to demonstrate that in the pure fee-for-service and the alternative payment model worlds of reimbursement, strong cases can be made to support the benefits of PN.
RESULTS
In three large programs, PN resulted in increased patient retention and increased physician loyalty within the cancer programs, leading to increased revenue. In addition, in two programs, PN was associated with a reduction in unnecessary resource utilization, such as emergency department visits and hospitalizations. PN also reduces burdens on oncology providers, potentially reducing burnout, errors, and costly staff turnover.
CONCLUSION
PN has resulted in improved patient outcomes and patient satisfaction and has important financial benefits for cancer programs in the fee-for-service and the alternative payment model worlds, lending support for more robust staffing of PN programs.
目的
患者导航（PN）是高质量、以患者为中心的癌症护理中越来越被认可的一个组成部分，但许多癌症项目中缺乏或有限的患者导航，这通常是因为担心额外的成本而没有明显的财务收益。
方法
使用五个现实世界的 PN 项目示例来证明，在纯按服务收费和替代支付模式的报销世界中，可以有力地证明 PN 的益处。
结果
在三个大型项目中，PN 导致患者保留率增加，癌症项目内医生忠诚度增加，从而增加了收入。此外，在两个项目中，PN 与减少不必要的资源利用有关，例如急诊就诊和住院治疗。PN 还减轻了肿瘤学提供者的负担，可能降低了倦怠、错误和昂贵的员工流失率。
结论
PN 改善了患者的预后和满意度，并为按服务收费和替代支付模式世界中的癌症项目带来了重要的财务收益，为更有力地配置 PN 项目提供了支持。
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