Current Quality of Gynecologic Cancer Care in North America

Obstet Gynecol Clin North Am. 2019 Mar;46(1):1-17. doi: 10.1016/j.ogc.2018.09.001.

Abstract

Evaluating the quality of care received by gynecologic cancer patients in the real world is essential for excellent outcomes. The recent population-based literature looking at quality of care was reviewed for all gynecologic malignancies. Outcomes are generally highest when care is provided by high-volume providers in high-volume cancer centers. Provision of care according to clinical practice guidelines has also been demonstrated to improve outcomes in many situations. Disparities exist for marginalized groups in terms of the care they receive and subsequent outcomes. Health systems need to improve care for these populations.

Keywords: Disparities; Gynecologic cancer outcomes; Population-based care; Processes of care; Quality of care; Structure of care.

Publication types

  • Review

MeSH terms

  • Female
  • Genital Neoplasms, Female / economics
  • Genital Neoplasms, Female / epidemiology
  • Genital Neoplasms, Female / therapy*
  • Health Care Costs / trends*
  • Healthcare Disparities / statistics & numerical data*
  • Humans
  • Insurance, Health / economics
  • Insurance, Health / trends*
  • North America / epidemiology
  • Quality of Health Care / economics
  • Quality of Health Care / trends*