Measuring the Quality of Breast Cancer Care in Women

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Author :
Publisher : Department of Health and Human Services Public Health Servic
ISBN 13 : 9781587631610
Total Pages : 165 pages
Book Rating : 4.6/5 (316 download)

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Book Synopsis Measuring the Quality of Breast Cancer Care in Women by : Howard M. Schachter

Download or read book Measuring the Quality of Breast Cancer Care in Women written by Howard M. Schachter and published by Department of Health and Human Services Public Health Servic. This book was released on 2004-01-01 with total page 165 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Measuring the Quality of Breast Cancer Care in Women

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Author :
Publisher : CreateSpace
ISBN 13 : 9781500350604
Total Pages : 312 pages
Book Rating : 4.3/5 (56 download)

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Book Synopsis Measuring the Quality of Breast Cancer Care in Women by : U.s. Department of Health and Human Services

Download or read book Measuring the Quality of Breast Cancer Care in Women written by U.s. Department of Health and Human Services and published by CreateSpace. This book was released on 2014-06-29 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: This evidence report describes the results of a systematic review of the scientific-medical literature designed to survey the range of quality measures assessing the quality of breast cancer care in women, and to characterize specific parameters potentially affecting their suitability for wider use. Specific emphasis was placed on diagnosis, treatment (including supportive care), follow up, and the reporting/documentation of this care. The population of interest was female adults diagnosed with, or in treatment for, any histological type of adenocarcinoma of the breast, including both in situ and invasive cancer. In addition to informing the research community and the public on the availability and utility of quality measures of breast cancer care, it is anticipated that the findings of this report will be used to help define an agenda for future research. The quality of healthcare refers to “the degree to which healthcare services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.” It is estimated that more than one trillion dollars is spent annually on healthcare in the United States, yet there are few systematic and comprehensive data on how well this care is provided by practitioners, organizations, and systems. Various sources (e.g., healthcare professionals, hospitals, health plans) have provided some data on healthcare, including its quality. However, the absence of a coordinated national quality measurement and reporting system has meant that these data are likely too inconsistent and incomplete to permit derivation of a national overview of problems in healthcare quality that could potentially serve to inform the public about the quality of its healthcare choices. Other than skin cancer, breast cancer remains the most common cancer in women and the second leading cause of cancer-related death. In the United States, it is estimated that, in 2003, over 211,000 women will be diagnosed with breast cancer, and approximately 40,000 will die from the disease. Although much less common, breast cancer also occurs in men, accounting for less than 1% of all breast cancers (approximately 1600 cases in 2003). According to data compiled by the Surveillance, Epidemiology and End Results Program (SEER), 1 in 8 women will develop breast cancer during their lifetime, with the risk increasing with age. Although breast cancer occurs more often in white women than in black or Asian women, cancer survival rates have been estimated to be 15% lower in black women compared with white women. Recent statistics (1992 - 1996) indicate that breast cancer-related deaths are declining, with the largest decrease observed in younger women, both white and black. The decline in death rates is attributed to earlier detection and improved treatment. Currently, it is recommended that all women over the age of 40 receive regular mammograms (every 1 to 2 years). What follows is a brief overview of the range of breast cancer care, including some reference to available evidence.

Breast Cancer: Global Quality Care

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Author :
Publisher : Oxford University Press, USA
ISBN 13 : 0198839243
Total Pages : 433 pages
Book Rating : 4.1/5 (988 download)

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Book Synopsis Breast Cancer: Global Quality Care by : Didier Verhoeven

Download or read book Breast Cancer: Global Quality Care written by Didier Verhoeven and published by Oxford University Press, USA. This book was released on 2019-10-31 with total page 433 pages. Available in PDF, EPUB and Kindle. Book excerpt: Developing or existing breast cancer centres strive to provide the highest quality care possible within their current financial and personnel resources. Although the basics in diagnosis and treatment of breast cancer are well known, providing, monitoring, and assessing the care offered can be challenging for most sites. Based on the work of the International Congress of Breast Disease Centres, this book provides a comprehensive overview of how to start or improve a breast unit wherever you live. Written by a multidisciplinary team of over 100 experts from 25 countries, it provides a practical guide for how to optimally organise high quality integrated breast cancer care, whilst taking into account the local economics and resources available to different countries. Each component of the care pathway, including imaging, surgery, systemic treatment, nursing, and genetic assessment, is discussed from a theoretical and practical aspect. The authors define targets to strive for, methods to assess care, and key recommendations for how to improve within existing limitations. Finally, the book looks beyond the breast care unit to consider accreditation and certification, emerging technologies, media, and the role of governments. This guide will be valuable for anyone working in the field of integrated breast cancer care, including established breast care experts, those new to the field, and policy makers interested in the social, financial, and political aspects of improving breast care quality.

Ensuring Quality Cancer Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309173140
Total Pages : 256 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Ensuring Quality Cancer Care by : Institute of Medicine and National Research Council

Download or read book Ensuring Quality Cancer Care written by Institute of Medicine and National Research Council and published by National Academies Press. This book was released on 1999-07-21 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: We all want to believe that when people get cancer, they will receive medical care of the highest quality. Even as new scientific breakthroughs are announced, though, many cancer patients may be getting the wrong care, too little care, or too much care, in the form of unnecessary procedures. How close is American medicine to the ideal of quality cancer care for every person with cancer? Ensuring Quality Cancer Care provides a comprehensive picture of how cancer care is delivered in our nation, from early detection to end-of-life issues. The National Cancer Policy Board defines quality care and recommends how to monitor, measure, and extend quality care to all people with cancer. Approaches to accountability in health care are reviewed. What keeps people from getting care? The book explains how lack of medical coverage, social and economic status, patient beliefs, physician decision-making, and other factors can stand between the patient and the best possible care. The board explores how cancer care is shaped by the current focus on evidence-based medicine, the widespread adoption of managed care, where services are provided, and who provides care. Specific shortfalls in the care of breast and prostate cancer are identified. A status report on health services research is included. Ensuring Quality Cancer Care offers wide-ranging data and information in clear context. As the baby boomers approach the years when most cancer occurs, this timely volume will be of special interest to health policy makers, public and private healthcare purchasers, medical professionals, patient advocates, researchers, and people with cancer.

Meeting Psychosocial Needs of Women with Breast Cancer

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Author :
Publisher : National Academies Press
ISBN 13 : 0309091292
Total Pages : 289 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Meeting Psychosocial Needs of Women with Breast Cancer by : National Research Council

Download or read book Meeting Psychosocial Needs of Women with Breast Cancer written by National Research Council and published by National Academies Press. This book was released on 2004-04-12 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Meeting Psychosocial Needs of Women with Breast Cancer, the National Cancer Policy Board of the Institute of Medicine examines the psychosocial consequences of the cancer experience. The book focuses specifically on breast cancer in women because this group has the largest survivor population (over 2 million) and this disease is the most extensively studied cancer from the standpoint of psychosocial effects. The book characterizes the psychosocial consequences of a diagnosis of breast cancer, describes psychosocial services and how they are delivered, and evaluates their effectiveness. It assesses the status of professional education and training and applied clinical and health services research and proposes policies to improve the quality of care and quality of life for women with breast cancer and their families. Because cancer of the breast is likely a good model for cancer at other sites, recommendations for this cancer should be applicable to the psychosocial care provided generally to individuals with cancer. For breast cancer, and indeed probably for any cancer, the report finds that psychosocial services can provide significant benefits in quality of life and success in coping with serious and life-threatening disease for patients and their families.

Discussion Papers

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Author :
Publisher :
ISBN 13 :
Total Pages : 44 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis Discussion Papers by : Patricia Ganz

Download or read book Discussion Papers written by Patricia Ganz and published by . This book was released on 1996 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Assessing the Quality of Cancer Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309095697
Total Pages : 293 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Assessing the Quality of Cancer Care by : National Research Council

Download or read book Assessing the Quality of Cancer Care written by National Research Council and published by National Academies Press. This book was released on 2005-06-18 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: Shortly after 1998, leading members of Georgia's government, medical community, and public-spirited citizenry began considering ways in which some of Georgia's almost $5 billion, 25-year settlement from the tobacco industry's Master Settlement Agreement with the 50 states could be used to benefit Georgia residents. Given tobacco's role in causing cancer, they decided to create an entity and program with the mission of making Georgia a national leader in cancer prevention, treatment, and research. This new entity-called the Georgia Cancer Coalition, Inc. (GCC)-and the state of Georgia subsequently began implementing a far-reaching state cancer initiative that includes five strategic goals: (1) preventing cancer and detecting existing cancers earlier; (2) improving access to quality care for all state residents with cancer; (3) saving more lives in the future; (4) training future cancer researchers and caregivers; and (5) turning the eradication of cancer into economic growth for Georgia. Assessing the Quality of Cancer Care identifies a set of measures that could be used to gauge Georgia's progress in improving the quality of its cancer services and in reducing cancer-related morbidity and mortality.

Ensuring Quality Cancer Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309518792
Total Pages : 257 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis Ensuring Quality Cancer Care by : National Cancer Policy Board

Download or read book Ensuring Quality Cancer Care written by National Cancer Policy Board and published by National Academies Press. This book was released on 1999-08-04 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: We all want to believe that when people get cancer, they will receive medical care of the highest quality. Even as new scientific breakthroughs are announced, though, many cancer patients may be getting the wrong care, too little care, or too much care, in the form of unnecessary procedures. How close is American medicine to the ideal of quality cancer care for every person with cancer? Ensuring Quality Cancer Care provides a comprehensive picture of how cancer care is delivered in our nation, from early detection to end-of-life issues. The National Cancer Policy Board defines quality care and recommends how to monitor, measure, and extend quality care to all people with cancer. Approaches to accountability in health care are reviewed. What keeps people from getting care? The book explains how lack of medical coverage, social and economic status, patient beliefs, physician decision-making, and other factors can stand between the patient and the best possible care. The board explores how cancer care is shaped by the current focus on evidence-based medicine, the widespread adoption of managed care, where services are provided, and who provides care. Specific shortfalls in the care of breast and prostate cancer are identified. A status report on health services research is included. Ensuring Quality Cancer Care offers wide-ranging data and information in clear context. As the baby boomers approach the years when most cancer occurs, this timely volume will be of special interest to health policy makers, public and private healthcare purchasers, medical professionals, patient advocates, researchers, and people with cancer.

The Portfolio Diet for Cardiovascular Disease Risk Reduction

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Author :
Publisher : Academic Press
ISBN 13 : 0128105100
Total Pages : 236 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis The Portfolio Diet for Cardiovascular Disease Risk Reduction by : Wendy Jenkins

Download or read book The Portfolio Diet for Cardiovascular Disease Risk Reduction written by Wendy Jenkins and published by Academic Press. This book was released on 2019-03-15 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Portfolio Diet for Cardiovascular Disease Risk Reduction: An Evidence Based Approach to Lower Cholesterol through Plant Food Consumption examines the science of this new dietary technology to reduce serum cholesterol and aid in cardiovascular health. With a thorough examination into the scientific rationale for the use of this dietary approach, discussions are included on the experimental findings both for the diet and its 4 individual food components: nuts, legume proteins, viscous fibers, and plant-sterol-enriched foods. Referenced with data from the latest relevant publications and enhanced with practical details (including tips, dishes, and menus), the reader is enabled to meet the goals of serum cholesterol lowering and CVD risk reduction. Provides the scientific basis for the selection of the foods included in the Dietary Portfolio and the experimental evidence demonstrating cholesterol lowering and cardiovascular risk factor reduction Provides an understanding of the current guidelines for lowering cholesterol and other risk factors of cardiovascular disease, explaining how the Dietary Portfolio effects these components and compares to other diet based approaches Provides a holistic view of the Dietary Portfolio by investigating issues of sustainability and ethics in the food system Allows readers to acquire the skills to successfully construct a potent cholesterol-lowering diet Includes tips, palatable recipes and meal planning aids

Delivering High-Quality Cancer Care

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Author :
Publisher : National Academies Press
ISBN 13 : 9780309286602
Total Pages : 0 pages
Book Rating : 4.2/5 (866 download)

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Book Synopsis Delivering High-Quality Cancer Care by : Committee on Improving the Quality of Cancer Care: Addressing the Challenges of an Aging Population

Download or read book Delivering High-Quality Cancer Care written by Committee on Improving the Quality of Cancer Care: Addressing the Challenges of an Aging Population and published by National Academies Press. This book was released on 2014-01-10 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, approximately 14 million people have had cancer and more than 1.6 million new cases are diagnosed each year. However, more than a decade after the Institute of Medicine (IOM) first studied the quality of cancer care, the barriers to achieving excellent care for all cancer patients remain daunting. Care often is not patient-centered, many patients do not receive palliative care to manage their symptoms and side effects from treatment, and decisions about care often are not based on the latest scientific evidence. The cost of cancer care also is rising faster than many sectors of medicine--having increased to $125 billion in 2010 from $72 billion in 2004--and is projected to reach $173 billion by 2020. Rising costs are making cancer care less affordable for patients and their families and are creating disparities in patients' access to high-quality cancer care. There also are growing shortages of health professionals skilled in providing cancer care, and the number of adults age 65 and older--the group most susceptible to cancer--is expected to double by 2030, contributing to a 45 percent increase in the number of people developing cancer. The current care delivery system is poorly prepared to address the care needs of this population, which are complex due to altered physiology, functional and cognitive impairment, multiple coexisting diseases, increased side effects from treatment, and greater need for social support. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis presents a conceptual framework for improving the quality of cancer care. This study proposes improvements to six interconnected components of care: (1) engaged patients; (2) an adequately staffed, trained, and coordinated workforce; (3) evidence-based care; (4) learning health care information technology (IT); (5) translation of evidence into clinical practice, quality measurement and performance improvement; and (6) accessible and affordable care. This report recommends changes across the board in these areas to improve the quality of care. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis provides information for cancer care teams, patients and their families, researchers, quality metrics developers, and payers, as well as HHS, other federal agencies, and industry to reevaluate their current roles and responsibilities in cancer care and work together to develop a higher quality care delivery system. By working toward this shared goal, the cancer care community can improve the quality of life and outcomes for people facing a cancer diagnosis.

Improving Breast Imaging Quality Standards

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Author :
Publisher : National Academies Press
ISBN 13 : 0309096480
Total Pages : 241 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Improving Breast Imaging Quality Standards by : National Research Council

Download or read book Improving Breast Imaging Quality Standards written by National Research Council and published by National Academies Press. This book was released on 2005-10-27 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mammography is an important tool for detecting breast cancer at an early stage. When coupled with appropriate treatment, early detection can reduce breast cancer mortality. At the request of Congress, the Food and Drug Administration (FDA) commissioned a study to examine the current practice of mammography and breast cancer detection, with a focus on the FDA's oversight via the Mammography Quality Standards Act (MQSA), to identify areas in need of improvement. Enacted in 1993, MQSA provides a general framework for ensuring national quality standards in facilities performing screening mammography, requires that each mammography facility be accredited and certified, and mandates that facilities will undergo annual inspections. This book recommends strategies for achieving continued progress in assuring mammography quality, including changes to MQSA regulation, as well as approaches that do not fall within the purview of MQSA. Specifically, this book provides recommendations aimed at improving mammography interpretation; revising MQSA regulations, inspections, and enforcement; ensuring an adequate workforce for breast cancer screening and diagnosis; and improving breast imaging quality beyond mammography.

Handbook of Cancer Survivorship

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Author :
Publisher : Springer
ISBN 13 : 3319774328
Total Pages : 419 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Handbook of Cancer Survivorship by : Michael Feuerstein

Download or read book Handbook of Cancer Survivorship written by Michael Feuerstein and published by Springer. This book was released on 2018-10-31 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: This timely revision of the authoritative handbook gives a wide range of providers practical insights and strategies for treating cancer survivors’ long-term physical and mental health issues. Details of new and emerging trends in research and practice enhance readers’ awareness of cancer survivor problems so they may better detect, monitor, intervene in, and if possible prevent disturbing conditions and potentially harmful outcomes. Of particular emphasis in this model of care are recognizing each patient’s uniqueness within the survivor population and being a co-pilot as survivors navigate their self-management. New or updated chapters cover major challenges to survivors’ quality of life and options for service delivery across key life domains, including: Adaptation and coping post-treatment. Problems of aging in survivorship, disparities and financial hardship. Well-being concerns including physical activity, weight loss, nutrition, and smoking cessation. Core functional areas such as work, sleep, relationships, and cognition. Large-scale symptoms including pain, distress, and fatigue. Models of care including primary care and comprehensive cancer center. International perspectives PLUS, insights about lessons learned and challenges ahead. With survivorship and its care becoming an ever more important part of the clinical landscape, the Second Edition of the Handbook of Cancer Survivorship is an essential reference for oncologists, rehabilitation professionals, public health, health promotion and disease prevention specialists, and epidemiologists.

The Unequal Burden of Cancer

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Publisher : National Academies Press
ISBN 13 : 0309071542
Total Pages : 353 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis The Unequal Burden of Cancer by : Institute of Medicine

Download or read book The Unequal Burden of Cancer written by Institute of Medicine and published by National Academies Press. This book was released on 1999-06-11 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: We know more about cancer prevention, detection, and treatment than ever beforeâ€"yet not all segments of the U.S. population have benefited to the fullest extent possible from these advances. Some ethnic minorities experience more cancer than the majority population, and poor peopleâ€"no matter what their ethnicityâ€"often lack access to adequate cancer care. This book provides an authoritative view of cancer as it is experienced by ethnic minorities and the medically underserved. It offers conclusions and recommendations in these areas: Defining and understanding special populations, and improving the collection of cancer-related data. Setting appropriate priorities for and increasing the effectiveness of specific National Institutes of Health (NIH) research programs, to ensure that special populations are represented in clinical trials. Disseminating research results to health professionals serving these populations, with sensitivity to the issues of cancer survivorship. The book provides background data on the nation's struggle against cancer, activities and expenditures of the NIH, and other relevant topics.

Breast Cancer Screening

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Author :
Publisher : Academic Press
ISBN 13 : 0128024941
Total Pages : 453 pages
Book Rating : 4.1/5 (28 download)

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Book Synopsis Breast Cancer Screening by : Nehmat Houssami

Download or read book Breast Cancer Screening written by Nehmat Houssami and published by Academic Press. This book was released on 2016-03-02 with total page 453 pages. Available in PDF, EPUB and Kindle. Book excerpt: Breast Cancer Screening: Making Sense of Complex and Evolving Evidence covers broad aspects of breast cancer screening specifically focusing on current evidence, emerging evidence, and issues that will be critical for future breast screening practice such as tailored screening and shared decision-making in breast screening. The scope of the book is relevant to a global audience. This book provides balanced perspectives on this increasingly controversial topic, using scientific evidence to explain the evolution of knowledge relating to breast cancer screening. Breast Cancer Screening covers the key points related to this debate including the context of increasingly complex and conflicting evidence, divergent opinions on the benefits and harms of breast screening, and variability in screening practice and outcomes across settings around the world. Explains complex and evolving evidence on breast screening with a balanced approach Provides balanced information and up-to-date evidence in an increasingly complex area Addresses emerging topical issues such as screening trials of digital breast tomosynthesis, tailored breast screening, and shared decision-making in breast screening Assists academics and researchers in identifying areas needing further research

Adjuvant Therapy of Primary Breast Cancer VI

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 364245769X
Total Pages : 505 pages
Book Rating : 4.6/5 (424 download)

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Book Synopsis Adjuvant Therapy of Primary Breast Cancer VI by : Hans-Jörg Senn

Download or read book Adjuvant Therapy of Primary Breast Cancer VI written by Hans-Jörg Senn and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 505 pages. Available in PDF, EPUB and Kindle. Book excerpt: This RRCR-conference-volume marks "number six" in a 20-year evolution of international conferences on the adjuvant therapy of primary breast cancer. Starting in 1978, a handful of some 80 en thusiastic breast cancer surgeons and oncologists, met in a se cluded mountain resort near st. Gallen in Eastern Switzerland, to exchange their early data of some pioneer trials on adjuvant sys temic therapy of early breast cancer, and to correlate their future research efforts to overcome the frustrating prognostic stagna tion of this dominant neoplastic disease in Western females dur ing the past decades. Repeated every 3-4 years, these St. Gallen International Conferences on Adjuvant Therapy of Primary Breast Cancer have continuously grown in numbers of partici pants and in normative, therapeutic influence by being published in major oncology journals [1-3], the last (6th) conference hav ing taken place from February 25-28, 1998 with more than 1800 attendees from over 50 countries worldwide. What is the fascination of adjuvant therapy in primary (early) breast cancer, and what has changed,during the last 3 years since March 1995, to justify another international gathering of this size, and of the world's leading experts in the field? There is no question, that providing even more effective care and designing appropriate recommendations for the multitudes of patients with so-called early breast cancer or at high risk of developing the disease, remain highly important public health goals.

Improving Health in the Community

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Author :
Publisher : National Academies Press
ISBN 13 : 0309055342
Total Pages : 497 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Improving Health in the Community by : Institute of Medicine

Download or read book Improving Health in the Community written by Institute of Medicine and published by National Academies Press. This book was released on 1997-05-21 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.

Medicare

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Author :
Publisher : National Academies Press
ISBN 13 : 0309042305
Total Pages : 462 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Medicare by : Institute of Medicine

Download or read book Medicare written by Institute of Medicine and published by National Academies Press. This book was released on 1990-02-01 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care for the elderly American is among our nation's more pressing social issues. Our society wishes to ensure quality health care for all older people, but there is growing concern about our ability to maintain and improve quality in the face of efforts to contain health care costs. Medicare: A Strategy for Quality Assurance answers the U.S. Congress' call for the Institute of Medicine to design a strategic plan for assessing and assuring the quality of medical care for the elderly. This book presents a proposed strategic plan for improving quality assurance in the Medicare program, along with steps and timetables for implementing the plan by the year 2000 and the 10 recommendations for action by Congress. The book explores quality of careâ€"how it is defined, measured, and improvedâ€"and reviews different types of quality problems. Major issues that affect approaches to assessing and assuring quality are examined. Medicare: A Strategy for Quality Assurance will be immediately useful to a wide audience, including policymakers, health administrators, individual providers, specialists in issues of the older American, researchers, educators, and students.