Designing and implementing a bundle of care for patients with early-stage breast cancer: lessons from a pilot program

Yvonne Zissiadis, Helen Ballal, Nicola Forsyth, Angela Ives, Lee Jackson, Anna Montgomery, Sarah Wise, Wen Chan Yeow, Christobel Saunders

Research output: Contribution to journalArticlepeer-review

Abstract

We present a case study on the design and implementation of a value-based bundled package of care for patients with early-stage breast cancer treated in the private health sector in Australia. Value-based healthcare is an essential change to how we deliver healthcare, shifting the focus from paying for individual services provided to a focus on the health outcomes gained over a full cycle of care. The Australian health system has unintentionally created barriers to value-based cancer care through fragmented care pathways and complex funding arrangements where patients can unexpectedly encounter high out-of-pocket costs. A team of clinicians, service providers, health systems and funding experts, private health insurers and consumers have collaborated to design and pilot a complete bundled package of care for breast cancer patients which aims to address these challenges. With 40 patients recruited to date, early evaluation results show positive patient experience of 'joined-up' care and financial transparency. This case study provides a high-level overview of the approach taken to design and implement the Breast Cancer Bundle and the lessons learned for its expansion in both public and private settings.

Original languageEnglish
Number of pages6
JournalAustralian health review : a publication of the Australian Hospital Association
Volume48
Issue number2
DOIs
Publication statusPublished - 3 Apr 2024

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