Download Ensuring quality cancer care by Maria Elizabeth Hewitt; Joseph V Simone; National Cancer PDF

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  • April 21, 2017
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By Maria Elizabeth Hewitt; Joseph V Simone; National Cancer Policy Board (U.S.)

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Extra resources for Ensuring quality cancer care

Example text

Dekker. Comarow A. 1997. 1997 annual guide to America’s best hospitals: Inside the rankings. S. News & World Report, July 28. Donaldson MS. 1998. Accountability for quality in managed care. Journal of Quality Improvement 24(12):711–725. Ehrlich, RH, Hill CA, Winfrey KL 1997. The 1997 index of hospital quality. Chicago: National Opinion Research Center, University of Chicago. Fishman P, Von Korff M, Lozano P, et al. 1997. Chronic care costs in managed care. Health Affairs 16(3):39–47. Foley K. 1998.

Surgery, radiation) and information about reconstructive surgery and mammography. • Several states have also enacted regulations requiring third-party payers to provide a specified amount of inpatient care following a mastectomy, lumpectomy, or lymph node dissection. For mastectomy the minimum length of stay ranges from 24 hours (Virginia) to 72 hours (New Jersey) following modified radical mastectomy. Most other states that have such laws require coverage for a 48-hour stay or as directed by the physician (Arkansas, Connecticut, Florida, Illinois, Kentucky, Maine, Montana, New Mexico, New York, North Carolina, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Texas).

One in seven Americans lacks health insurance, which creates a general barrier to getting medical care of any kind. Some other barriers to receiving appropriate medical care are less obvious. Nonfinancial barriers that may prevent people from “getting to the door” of a health care provider include geography, language, fear and distrust of health care providers, and difficulties getting through appointment or “gatekeeper” systems. Once “in the door,” other barriers to access may surface when attempting to navigate the system: for example, getting from a primary care provider to a specialist.

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