Healthcare Management
Delivering High-Quality Cancer Care
In the United States, approximately 14 million people are cancer survivors and more than 1.6 million people are newly diagnosed with cancer each year. By 2022, it is projected that there will be 18 million cancer survivors and, by 2030, 2.3 million people are expected to be newly diagnosed with cancer each year. However, more than a decade after the Institute of Medicine (IOM) first addressed the quality of cancer care in the United States, the barriers to achieving excellent care for all cancer patients remain daunting. The growing demand for cancer care, combined with the complexity of the disease and its treatment, a shrink- ing workforce, and rising costs, constitute a crisis in cancer care delivery (see Box S-1). The complexity of cancer impedes the ability of clinicians, patients, and their families to formulate plans of care with the necessary speed, precision, and quality. As a result, decisions about cancer care are often not evidence-based. Many patients also do not receive adequate explana- tion of their treatment goals, and when a phase of treatment concludes, they frequently do not know what treatments they have received or the consequences of their treatments for their future health. In addition, many patients do not receive palliative care to manage their symptoms and side effects from treatment.
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