This project has been developed in the breakthrough framework of the Value Based Health Care (VBHC), which aims at improving health outcomes at lower cost in different medical conditions. The VBHC paradigm has been applied in cancer care to improve the management of the disease, considering epidemiological, medical, psychological and economic outcomes. Two studies have been designed and implemented to better investigate the psychological perspective of lung and prostate cancer patients, in the light of the VBHC paradigm. The project identifies the trend of clinical and psychological status over time and predict this change with sociodemographic or medical variables. Several categories of patients characterized by different trends were identified, elucidating the psychological dimension of cancer patients. A person-oriented approach was used to analyze patients’ recovery. One-year Quality of Life (QoL) trends in early stage of lung and prostate cancer patients undergoing surgery were identified. Patients’ recovery after surgery was characterized by both an overall decrease of symptoms and an increase of health and functioning over time. Prostate cancer patients showed different longitudinal trajectories of urinary incontinence and sexual dysfunction. In lung cancer patients, pre-surgery QoL, type of surgery, perioperative complications, and age, affected the post-surgery QoL as well as the linear and quadratic trends over time. Through the implementation of this holistic approach, the predictive model of patients’ recovery will be developed, thus improving medical decision-making, the choice of treatment, and patients’ awareness about their care process. Potential harms, QoL, and expected outcomes will be more predictable and better manageable. Participants will be more empowered, being more aware of their post-surgical care.
THE VALUE-BASED HEALTH CARE: A PSYCHOLOGICAL PERSPECTIVE IN CANCER CARE / C. Marzorati ; supervisor: G. Pravettoni ; internal advisor: K. Mazzocco. DIPARTIMENTO DI ONCOLOGIA ED EMATO-ONCOLOGIA, 2020 Jan 28. 31. ciclo, Anno Accademico 2019. [10.13130/marzorati-chiara_phd2020-01-28].
THE VALUE-BASED HEALTH CARE: A PSYCHOLOGICAL PERSPECTIVE IN CANCER CARE
C. Marzorati
2020
Abstract
This project has been developed in the breakthrough framework of the Value Based Health Care (VBHC), which aims at improving health outcomes at lower cost in different medical conditions. The VBHC paradigm has been applied in cancer care to improve the management of the disease, considering epidemiological, medical, psychological and economic outcomes. Two studies have been designed and implemented to better investigate the psychological perspective of lung and prostate cancer patients, in the light of the VBHC paradigm. The project identifies the trend of clinical and psychological status over time and predict this change with sociodemographic or medical variables. Several categories of patients characterized by different trends were identified, elucidating the psychological dimension of cancer patients. A person-oriented approach was used to analyze patients’ recovery. One-year Quality of Life (QoL) trends in early stage of lung and prostate cancer patients undergoing surgery were identified. Patients’ recovery after surgery was characterized by both an overall decrease of symptoms and an increase of health and functioning over time. Prostate cancer patients showed different longitudinal trajectories of urinary incontinence and sexual dysfunction. In lung cancer patients, pre-surgery QoL, type of surgery, perioperative complications, and age, affected the post-surgery QoL as well as the linear and quadratic trends over time. Through the implementation of this holistic approach, the predictive model of patients’ recovery will be developed, thus improving medical decision-making, the choice of treatment, and patients’ awareness about their care process. Potential harms, QoL, and expected outcomes will be more predictable and better manageable. Participants will be more empowered, being more aware of their post-surgical care.File | Dimensione | Formato | |
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