Choosing Wisely: The Korean Perspective and Launch of the ‘Right Decision in Cancer Care’ Initiative
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Government healthcare expenditure is rising in Korea, and the costs incurred by patients in Korea exceed those incurred by patients in other Organization for Economic Co-operation and Development countries. Despite the increasing health expenditure, patient demand for services is increasing as well, so it is now becoming recognized that cancer care needs to be balanced. The most important measure in cancer care optimization is to provide highquality care while keeping costs sustainable. The Korean Cancer Association considers the current situation of cancer therapy in Korea the foremost issue, which has led to the implementation of the nationwide ‘Right Decisions in Cancer Care’ initiative. This initiative is based on the concepts of medical professionalism in that it should be led by physicians working in the field of oncology, that education should be offered to patients and clinicians, and that it should influence healthcare policy. In this article, we introduce the nationwide ‘Right Decision in Cancer Care’ initiative and highlight the five initial items on its agenda. The agenda is open to expansion and update as the medical environment evolves and additional clinical evidence becomes available.
Abstract
Government healthcare expenditure is rising in Korea, and the costs incurred by patients in Korea exceed those incurred by patients in other Organization for Economic Co-operation and Development countries. Despite the increasing health expenditure, patient demand for services is increasing as well, so it is now becoming recognized that cancer care needs to be balanced. The most important measure in cancer care optimization is to provide highquality care while keeping costs sustainable. The Korean Cancer Association considers the current situation of cancer therapy in Korea the foremost issue, which has led to the implementation of the nationwide ‘Right Decisions in Cancer Care’ initiative. This initiative is based on the concepts of medical professionalism in that it should be led by physicians working in the field of oncology, that education should be offered to patients and clinicians, and that it should influence healthcare policy. In this article, we introduce the nationwide ‘Right Decision in Cancer Care’ initiative and highlight the five initial items on its agenda. The agenda is open to expansion and update as the medical environment evolves and additional clinical evidence becomes available.
참고문헌 (32)
- "National Health Insurance:population coverage, contribution rate and benefit payment" (2016)[URL]
- "Trends in major death causes (2010-2016)" (2016)[URL]
- "Annual report of cancer statistics in Korea in 2016" (2018)[URL]
- "Health at a glance 2019, Chapter 7, Health expenditure" (2019)[URL]
- "Global health expenditure database. Health expenditure profile of Republic of Korea" (2018)[URL]
- "Health at a glance 2019, Chapter 5, Access to care p.113: OECD indicators" (2019)[URL]
- "Status of insurance companies'loss insurance coverage, etc. in 2017" (2018)[URL]
- "Promotion of cancer insurance policy improvement to prevent cancer hospitalization insurance disputes" (2018)[URL]
- "2018 National Health Insurance statistical yearbook. Registration No. 11-B50928-000001-10" (2018)[URL]
- Cho KH, "The challenges faced by the Korean Society for Radiation Oncology in the national healthcare system in Korea", Int J Radiat Oncol Biol Phys, 90, pp.725~728 (2014)
- Mullangi S, "Outcome measurement in value-based payments", JAMA Oncol, 3, pp.1019~1020 (2017)
- Spinks T, "Ensuring quality cancer care : a follow-up review of the Institute of Medicine's 10 recommendations for improving the quality of cancer care in America", Cancer, 118, pp.2571~2582 (2012)
- "Objectives and activities of Korean Cancer Association" (2020)[URL]
- Morden NE, "Choosing wisely : the politics and economics of labeling low-value services", N Engl J Med, 370, pp.589~592 (2014)
- Tran K, "Choosing wisely in cancer control across Canada : a set of baseline indicators", Curr Oncol, 24, pp.201~206 (2017)
- Chalmers K, "Measuring 21 low-value hospital procedures : claims analysis of Australian private health insurance data(2010-2014)", BMJ Open, 9, pp.e024142~ (2019)
- "Evolve recommendations on low-value cares" (2020)[URL]
- Temel JS, "Early palliative care for patients with metastatic non-small-cell lung cancer", N Engl J Med, 363, pp.733~742 (2010)
- Ferrell BR, "Integration of palliative care into standard oncology care : American Society of Clinical Oncology clinical practice guideline update", J Clin Oncol, 35, pp.96~112 (2017)
- Parikh RB, "The affordable care act and end-of-life care for patients with cancer", Cancer J, 23, pp.190~193 (2017)
- Scarborough BM, "Optimal pain management for patients with cancer in the modern era", CA Cancer J Clin, 68, pp.182~196 (2018)
- "Cancer pain management guideline, 6th edition" (2016)[URL]
- Peeken JC, "Integrating hyperthermia into modern radiation oncology : what evidence is necessary", Front Oncol, 7, pp.132~ (2017)
- Datta NR, "Hyperthermia and radiotherapy in the management of head and neck cancers : a systematic review and meta-analysis", Int J Hyperthermia, 32, pp.31~40 (2016)
- Datta NR, "Hyperthermia and radiotherapy with or without chemotherapy in locally advanced cervical cancer : a systematic review with conventional and network meta-analyses", Int J Hyperthermia, 32, pp.809~821 (2016)
- Thomas GM, "Better radiation therapy for cervix cancer would save lives", Int J Radiat Oncol Biol Phys, 89, pp.257~259 (2014)
- Han K, "Trends in the utilization of brachytherapy in cervical cancer in the United States", Int J Radiat Oncol Biol Phys, 87, pp.111~119 (2013)
- Wortman BG, "Ten-year results of the PORTEC-2 trial for high-intermediate risk endometrial carcinoma : improving patient selection for adjuvant therapy", Br J Cancer, 119, pp.1067~1074 (2018)
- 김해영, "Current status of brachytherapy in Korea: a national survey of radiation oncologists", Journal of Gynecologic Oncology, 27(4), pp.1~11 (2016), 대한부인종양학회
- "Medical tourism for carbon ion beam therapy (2019April 2)" (2019)[URL]
- Kim JY, "Choosing Wisely, the Korean perspective: the launch of the nationwide "right decision in cancer care" initiative", Int J Radiat Oncol Biol Phys, 107, pp.602~603 (2020)
