Value-Based Care in Hematopoietic Cell Transplantation and Cellular Therapy: Challenges and Opportunities

Current Hematologic Malignancy Reports
Gunjan L ShahSergio Giralt

Abstract

Improved tolerability and outcomes after hematopoietic cell transplantation (HCT), along with the availability of alternative donors, have expanded its use. With this growth, and the development of additional cellular therapies, we also aim to increase effectiveness, efficiency, and the quality of the care provided. Fundamentally, the goal of value-based care is to have better health outcomes with streamlined processes, improved patient experience, and lower costs for both the patients and the health care system. HCT and cellular therapy treatments are multiphase treatments which allow for interventions at each juncture. We present a summary of the current literature with focus on program structure and overall system capacity, coordination of therapy across providers, standardization across institutions, diversity and disparities in care, patient quality of life, and cost implications. Each of these topics provides challenges and opportunities to improve value-based care for HCT and cellular therapy patients.

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Citations

Nov 16, 2019·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Nandita KheraNavneet Majhail
Mar 7, 2019·Nature Reviews. Clinical Oncology·Nirali N Shah, Terry J Fry
Jan 8, 2020·Pharmacy : Journal of Pharmacy, Education and Practice·Amber Clemmons
Jun 25, 2018·Fertility and Sterility·Laura H Goetz, Nicholas J Schork

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