Effect of Physician Perspective on Allocation of Medicare Resources for Patients with Advanced Cancer
| العنوان: | Effect of Physician Perspective on Allocation of Medicare Resources for Patients with Advanced Cancer |
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| المؤلفون: | Steven A. Thomas, Halton W. Beumer, Walter T. Lee, Daniel J. Rocke |
| المصدر: | Otolaryngology–Head and Neck Surgery. 150:792-800 |
| بيانات النشر: | Wiley, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Attitude of Health Personnel, business.industry, Perspective (graphical), Cancer, Middle Aged, Medicare, medicine.disease, Advanced cancer, United States, Resource Allocation, Otolaryngology, Cross-Sectional Studies, Quality of life (healthcare), Otorhinolaryngology, Head and Neck Neoplasms, Physicians, Family medicine, Humans, Medicine, Female, Surgery, business |
| الوصف: | To assess how physician perspective (perspective of patient vs perspective of physician) affects Medicare resource allocation for patients with advanced cancer and compare physician allocations with actual cancer patient and caregiver allocations.Cross-sectional assessment.National assessment.Otolaryngologists.Physicians used a validated tool to create a Medicare plan for patients with advanced cancer. Participants took the perspective of an advanced cancer patient and made resource allocations between 15 benefit categories (assessment 2, November/December 2012). Results were compared with data from a prior assessment made from a physician's perspective (assessment 1, February/March 2012) and with data from a separate study with patients with cancer and caregivers.In total, 767 physicians completed assessment 1 and 237 completed assessment 2. Results were compared with 146 cancer patient and 114 caregiver assessments. Assessment 1 physician responses differed significantly from patients/caregivers in 14 categories (P.05), while assessment 2 differed in 11. When comparing physician data, assessment 2 allocations differed significantly from assessment 1 in 7 categories. When these 7 categories were compared with patient/caregiver data, assessment 2 allocations in emotional care, drug coverage, and nursing facility categories were not significantly different. Assessment 1 allocations in cosmetic care, dental, home care, and primary care categories were more similar to patient/caregiver preferences, although all but home care were still significantly different.Otolaryngology-head and neck surgery physician perspectives on end-of-life care differ significantly from cancer patient/caregiver perspectives, even when physicians take a patient's perspective when allocating resources. This demonstrates the challenges inherent in end-of-life discussions. |
| تدمد: | 1097-6817 0194-5998 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c854a980bd67c6cd8368d3af881871f3 https://doi.org/10.1177/0194599814520689 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....c854a980bd67c6cd8368d3af881871f3 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10976817 01945998 |
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