1. Designing and implementing a bundle of care for patients with early-stage breast cancer: lessons from a pilot program.
- Author
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Zissiadis Y, Ballal H, Forsyth N, Ives A, Jackson L, Montgomery A, Wise S, Yeow WC, and Saunders C
- Subjects
- Humans, Female, Pilot Projects, Australia, Delivery of Health Care, Health Facilities, Breast Neoplasms therapy
- Abstract
We present a case study on the design and implementation of a value-based bundled package of care for patients with early-stage breast cancer treated in the private health sector in Australia. Value-based healthcare is an essential change to how we deliver healthcare, shifting the focus from paying for individual services provided to a focus on the health outcomes gained over a full cycle of care. The Australian health system has unintentionally created barriers to value-based cancer care through fragmented care pathways and complex funding arrangements where patients can unexpectedly encounter high out-of-pocket costs. A team of clinicians, service providers, health systems and funding experts, private health insurers and consumers have collaborated to design and pilot a complete bundled package of care for breast cancer patients which aims to address these challenges. With 40 patients recruited to date, early evaluation results show positive patient experience of 'joined-up' care and financial transparency. This case study provides a high-level overview of the approach taken to design and implement the Breast Cancer Bundle and the lessons learned for its expansion in both public and private settings.
- Published
- 2024
- Full Text
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