TY - JOUR
T1 - The relationship between quality and cost during the perioperative breast cancer episode of care
AU - Landercasper, Jeffrey
AU - Tafra, Lorraine
N1 - Funding Information:
The authors thank Brooke De Maiffe for assistance in manuscript preparation, Jacob Gundrum for statistical assistance, Kathleen Meyer for electronic search assistance, and the Gundersen Lutheran Medical Foundation for financial assistance.
PY - 2010/8
Y1 - 2010/8
N2 - The relationship between quality and cost of care for breast cancer surgery was investigated by literature review. The guidelines, policy statements, quality measures (QM) and target goals for performance described by professional organizations were also reviewed. After review, the relationship between quality and cost of care for the components of perioperative care were assigned an inverse, direct or uncertain relationship. Identification of processes of care with an inverse relationship between quality and cost, such as performing a needle biopsy to diagnose cancer compared to an open surgical biopsy, provide opportunity to concurrently lower cost and improve quality. Other components of care, such as post-mastectomy reconstruction, demonstrate a direct relationship between quality and cost. Recognition of the variability of performance of QM's with an inverse quality and cost relationship has the potential to lower breast cancer population healthcare expenditures, if average performance for those QM can be improved.
AB - The relationship between quality and cost of care for breast cancer surgery was investigated by literature review. The guidelines, policy statements, quality measures (QM) and target goals for performance described by professional organizations were also reviewed. After review, the relationship between quality and cost of care for the components of perioperative care were assigned an inverse, direct or uncertain relationship. Identification of processes of care with an inverse relationship between quality and cost, such as performing a needle biopsy to diagnose cancer compared to an open surgical biopsy, provide opportunity to concurrently lower cost and improve quality. Other components of care, such as post-mastectomy reconstruction, demonstrate a direct relationship between quality and cost. Recognition of the variability of performance of QM's with an inverse quality and cost relationship has the potential to lower breast cancer population healthcare expenditures, if average performance for those QM can be improved.
KW - Breast cancer surgery
KW - Economics
KW - Quality
KW - Value
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U2 - 10.1016/j.breast.2010.03.014
DO - 10.1016/j.breast.2010.03.014
M3 - Article
C2 - 20382531
AN - SCOPUS:77955329196
SN - 0960-9776
VL - 19
SP - 289
EP - 296
JO - Breast
JF - Breast
IS - 4
ER -