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. 2017 Feb 15;9(2):e1029. doi: 10.7759/cureus.1029

Table 1. Actionable guidelines for promoting health of cancer patients in the setting of value-based care.

Cancer survivors Life-limiting cancer
Survivorship care plans Incorporate guidelines for diet and exercise and expected physical and mental symptoms Early palliative care Utilize specialized clinics at beginning of the disease process to improve long-term outcomes
Communicate costs Communicate expected costs and resources for managing costs during and after cancer treatment Communicate prognosis Honestly discuss prognostic information, respecting patient wishes and needs
Survivorship resources Provide easily accessible and understandable resources for survivors Educate providers Train practitioners and employees to communicate with and provide cancer care in a multi-disciplinary team
Quality metrics for survivorship care Implement metrics improving continuity of care and continued screening for cancer survivors Quality metrics for end of life care Implement metrics that emphasize improved quality of life aligning with patient goals of care 
Value-based care Adopt value-based frameworks to guide treatment decisions that align patient preferences and cost ecost-effectivence-based health care