Value and Values in Cancer Care. Assessing the Benefit of Treatment in Patients with Advanced Cancer

Oncol Res Treat. 2019;42(1-2):35-40. doi: 10.1159/000496119. Epub 2019 Jan 19.

Abstract

In recent years, the term "value-based healthcare" has been increasingly used in debates about costs and outcomes of health interventions in cancer care. This paper distinguishes 2 meanings of the term "value" and explores the relevance of both meanings of the word for assessing the "value" of cancer drugs. At the focus of the analysis are value judgments which form an integral part of the assessment of benefit of cancer drugs. The review concludes with a reflection on individual competences and systemic factors which are relevant to decision making about the value of treatment in situations of non-curative cancer.

Keywords: Costs; Ethics; Value-based health.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / economics
  • Antineoplastic Agents / therapeutic use
  • Cost-Benefit Analysis
  • Humans
  • Neoplasms / therapy*
  • Oncologists
  • Professional Role

Substances

  • Antineoplastic Agents