Test Evaluation Program (STEP) seminar – Moving cancer follow-up into primary care – exploring the tension between outcomes, costs and patient preferences

Wednesday the 21st of September, at 1-2pm in the Marjorie Oldfield Lecture Theatre.

Dr Alison Pearce will be speaking about: Moving cancer follow-up into primary care - exploring the tension between outcomes, costs and patient preferences

 

ABSTRACT

After completing cancer treatment, most cancer survivors have ongoing ‘follow-up care’ to monitor for cancer recurrence and manage any physical and emotional side effects. Traditionally done by cancer specialists, there is a growing evidence that follow-up in the primary care setting could improve efficiency and maintain (or perhaps improve) effectiveness. I am presenting my research into the health economics of cancer follow-up in primary care in Ireland. First, I describe two cost-effectiveness models for prostate and colorectal cancer which found follow-up in primary care was cost saving. Second, I describe a choice experiment to quantitatively measure patient preferences for follow-up care. Pilot study participants strongly preferred specialist-led care, although many survivors felt it shouldn’t be up to them to decide how their care was provided. This highlights possible tensions between effectiveness, efficiency and patient preferences, and I discuss the policy implications of these for service delivery.

 

SPEAKER

Dr Alison Pearce is a health economist and UTS Chancellor’s Postdoctoral Research Fellow. She recently returned from a postdoctoral fellowship at the National Cancer Registry Ireland, where she explored the economics of cancer survivorship. Her current work examines productivity losses resulting from cancer and how patient’s trade-off between survival and quality of life when choosing treatments. She also has keen interests in early career research development and science communications.

For more information go to http://www.health.usyd.edu.au/step/seminars/index.php