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    Minimizing the burden of cancer in the United States: Goals for a high-performing health care system

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    Author
    Yabroff, K.R.
    Gansler, T.
    Wender, R.C.
    Date
    2019
    Journal
    CA Cancer Journal for Clinicians
    Publisher
    Wiley-Blackwell
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://dx.doi.org/10.3322/caac.21556
    Abstract
    Between 1991 and 2015, the cancer mortality rate declined dramatically in the United States, reflecting improvements in cancer prevention, screening, treatment, and survivorship care. However, cancer outcomes in the United States vary substantially between populations defined by race/ethnicity, socioeconomic status, health insurance coverage, and geographic area of residence. Many potentially preventable cancer deaths occur in individuals who did not receive effective cancer prevention, screening, treatment, or survivorship care. At the same time, cancer care spending is large and growing, straining national, state, health insurance plans, and family budgets. Indeed, one of the most pressing issues in American medicine is how to ensure that all populations, in every community, derive the benefit from scientific research that has already been completed. Addressing these questions from the perspective of health care delivery is necessary to accelerate the decline in cancer mortality that began in the early 1990s. This article, part of the Cancer Control Blueprint series, describes challenges with the provision of care across the cancer control continuum in the United States. It also identifies goals for a high-performing health system that could reduce disparities and the burden of cancer by promoting the adoption of healthy lifestyles; access to a regular source of primary care; timely access to evidence-based care; patient-centeredness, including effective patient-provider communication; enhanced coordination and communication between providers, including primary care and specialty care providers; and affordability for patients, payers, and society. © 2019 American Cancer Society
    Keyword
    access to care
    burden of illness
    health care
    spending
    survivorship
    value
    Cancer
    Health insurance
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85061913803&doi=10.3322%2fcaac.21556&partnerID=40&md5=013f96a1fb8e6c9ef8407da3821f06b8; http://hdl.handle.net/10713/8586
    ae974a485f413a2113503eed53cd6c53
    10.3322/caac.21556
    Scopus Count
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