The relationship between quality and cost during the perioperative breast cancer episode of care

Jeffrey Landercasper, Lorraine Tafra

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)289-296
Number of pages8
JournalBreast
Volume19
Issue number4
DOIs
StatePublished - Aug 2010
Externally publishedYes

Fingerprint

Episode of Care
Breast Neoplasms
Costs and Cost Analysis
Quality of Health Care
Perioperative Care
Mastectomy
Needle Biopsy
Health Expenditures
Guidelines
Delivery of Health Care
Biopsy
Population

Keywords

  • Breast cancer surgery
  • Economics
  • Quality
  • Value

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

The relationship between quality and cost during the perioperative breast cancer episode of care. / Landercasper, Jeffrey; Tafra, Lorraine.

In: Breast, Vol. 19, No. 4, 08.2010, p. 289-296.

Research output: Contribution to journalArticle

Landercasper, Jeffrey ; Tafra, Lorraine. / The relationship between quality and cost during the perioperative breast cancer episode of care. In: Breast. 2010 ; Vol. 19, No. 4. pp. 289-296.
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