THIRD STRATEGIC GOAL
Organizing patient clinical care and personalized follow-up
Reaching your third strategical goal
The patient must be guided in complying with the recommendations and know his/her subsequent follow-up routine. Here, you can see how the guidelines provided to the patient lead your facility to achieve the third strategic goal.
Guidelines Provided to the patient
Here, you will receive a personalized care program. It consists of an integrative assessment involving all medical specialties necessary for your comprehensive healthcare. In general terms, the program covers the attending physician and all designated consulting physicians. The attending physician identifies the extent of your problem and guides the participation of consulting physicians, whose number varies according to your specific needs. Each consultant physician carries out his assessment and returns his recommendation to the attending physician through a medical conference. Clinical data are edited and published in your DHR and discussed on your customized tumor board, involving the attending physician and all your consulting physicians, resulting in consensual recommendations. Subsequently, the attending physician edits and publishes a medical report in your DHR, according evidence-based medicine.
Our dynamics also provides a personalized follow-up program, including all the specialties involved in your care. You will receive an appointment calendar. Your attending physician will complete it. It will indicate the scheduled date for each intervention and the date on which it is actually carried out. Remarks, when checked with an (Yes), must be fully described, pointing out the need for further investigation. Each follow-up intervention will be posted twice under the Progress Note icon of your DHR.
See how you have reached your third strategic goal
The guidelines provided in this section extends proactive patient behavior into his/her care and follow-up programs. The platform induces a cognitive and empathetic approach by the attending physician. It is inclusive in nature, allowing the patient to understand the reasoning used, promoting easy access to his/her clinical data. Additionally, Onco Qaly Platform makes available more information. At patient discretion, he/she can better understand the meaning of clinical solving-problem methodology and multidimensional integrative medicine further exploring cognitive interventions provided below.
Illustration of two distinct QALY values
ONCO/QALY is a new concept in oncology practice (ONCO) based on the benefit of proposed medical interventions. QALY stands for quality-adjusted life year. This concept guides medical intervention, as it contemplates both the time of life gained and the quality of life obtained with any specific recommendation. QALY is obtained by multiplying the estimated life span (in years) by the quality of life, represented in fractions of 1 (100% quality of life).
The figure above shows QALY obtained without the intervention (blue sphere) and with a hypothetical positive intervention (orange sphere). Without the intervention, the patient lives 20 years, but with a 50% quality of life (0.5). The product (20 x 0.5) corresponds to a QALY = 10. With the hypothetical positive intervention used in the illustration, the patient increases the life span to 30 years and improves the quality of life, reaching 80% (0.8 ). The product (30 x 0.8) corresponds to a QALY = 24.
Use of QALY in treatment decisions has been directly associated with the increasing use of measurement-based care, which means objectively guiding and reassessing medical interventions, always with shared patient-centered decision-making.
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