title: Value-Based Care in the Worldwide Battle Against Cancer.
abstract: Globally, an increasing and aging population is contributing to the prevalence of cancer. To be effective, cancer care needs to involve the coordination of multidisciplinary specialties, and also needs to be affordable, accessible, and capable of producing optimal patient outcomes. Porter and Teisberg (2006) have postulated that shifting current healthcare strategies from volume-based to patient-centric care redirects economic competition to providing treatments which promote the best patient outcomes while driving down costs. Therefore, the value in value-based healthcare (VBH) is defined as patient outcome per currency spent on providing care. Based on the experiences of healthcare organizations currently transitioning to the value-based system, this review details actionable guidelines to transition current cancer care practices to the value-based system in four main steps: by defining universal clinical and patient-reported measures, creating cancer-specific units that provide the full care cycle, establishing a data capture model to routinely determine the value of the care delivered, and continually improving treatment strategies through research. As healthcare providers in more developed countries move to value-based care, those located in less developed countries should also be assisted in their transition to relieve the cancer burden globally.
authors.affiliation: Oncology Clinical Trials Unit, St John of God Subiaco Hospital.
authors.forename: Niloufer J
authors.initials: NJ
authors.lastname: Johansen
authors.affiliation: School of Surgery, University of Western Australia.
authors.forename: Christobel M
authors.initials: CM
authors.lastname: Saunders
keywords: cancer care; data-capture; global; value based health care; value-based healthcare