Performance indicators for monitoring the integrated care pathway of patients with colorectal cancer: the E.Pic.A. project

Performance indicators for colorectal cancer

  • Andrea Ricotti Azienda Sanitaria Locale CN2, Alba - Italy http://orcid.org/0000-0003-1773-1072
  • Giovanni Messori Ioli Azienda Sanitaria Locale CN2, Alba - Italy
  • Mattia Altini Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola - Italy
  • Letizia Bachini Tuscan Regional Health Agency, Florence - Italy
  • William Balzi Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola - Italy
  • Giovanni Luca Frassineti Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola - Italy
  • Fabrizio Gemmi Tuscan Regional Health Agency, Florence - Italy https://orcid.org/0000-0002-1266-8433
  • Ilaria Massa Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola - Italy http://orcid.org/0000-0003-1388-3175
  • Andrea Pierini Roche S.p.A., Monza - Italy
  • Oscar Bertetto Dipartimento Interaziendale Interregionale Rete Oncologica Piemonte-Valle d’Aosta, Torino - Italy https://orcid.org/0000-0001-5133-2724
  • Patrizia Racca A.O.U. Citta della Salute e della Scienza di Torino, Torino - Italy
Keywords: Colorectal cancer, Key performance indicators, Appropriateness, Sustainability, Italian National Health System

Abstract

Background: Given limitations in economic resources, achieving sustainability in healthcare is an increasingly important issue driving policy decisions. Colorectal cancer (CRC) is a frequent oncological diagnosis with an incidence that is expected to increase, making the efficient utilisation of resources a major priority for its diagnosis and treatment. To assess potentially inappropriate utilisation of services in the integrated care pathway of patients with malignant CRC, a series of key performance indicators (KPIs) have been developed by a multidisciplinary panel of the E.Pic.A. project (Economic Appropriateness of an Integrated Care Pathway).
Methods: The KPIs identified had to comply with criteria of reliability, representativeness, accessibility and operativity. A definition is provided for each of the KPIs, along with the methodology used to calculate it and a reference target.
Results: Eight KPIs were identified that can measure inadequacies of services provided in the diagnostic and treatment pathways for CRC: four for instrumental diagnostics, three for surgery and one for oncologic therapy.
Conclusions: Use of the methodology described can help payors to obtain detailed information on inappropriate and wasteful use of healthcare resources, which would then permit their reallocation for interventions with higher value for patients with CRC and other pathologies. (HTA & Market Access, Oncology)

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Published
2019-06-15
How to Cite
1.
Ricotti A, Messori IoliG, Altini M, Bachini L, Balzi W, Frassineti G, Gemmi F, Massa I, Pierini A, Bertetto O, Racca P. Performance indicators for monitoring the integrated care pathway of patients with colorectal cancer: the E.Pic.A. project. Abtpn [Internet]. 15Jun.2019 [cited 25Jan.2020];6(1):48-4. Available from: https://journals.aboutscience.eu/index.php/aboutopen/article/view/292
Section
Original research article

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