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Development of a cancer decision tool

Jones, Donald M (2016) Development of a cancer decision tool. Master Essay, University of Pittsburgh.

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Abstract

The Affordable Care Act and Medicare identify the need of a shared-decision model in health care. This model would improve patients’ quality of life by removing the information barrier that currently exists between patient and physician. Using the shared-decision model and current technology, I developed a decision tool that facilitates the ability to make a timely shared decision. This tool has significant public health importance, in that improved decision making can add to the individual’s quality of life. The developed decision tool receives decisions from patients in regards to 28 questions over 8 specifically chosen criteria that have significant importance to patients with brain metastases, while the physician criteria has 5 patient specific factors that have significant importance in treatment options. All 8 patient criteria and 5 physician adjustment factors are reviewed in the literature to support the weighted impact on the treatment options: best supportive care, stereotactic radiosurgery, and whole brain radiotherapy. Both patient and physician criteria are next analyzed within a custom developed matrix across the treatment options. The matrix design is based on a fuzzy analytic hierarchy process to calculate, rank, and show to a degree the best option in form of percentage fit for each treatment option. The final result can then be used in the discussion between patient and physician for developing a treatment pathway.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Jones, Donald Mdmj26@pitt.eduDMJ26
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairCastle, Nicholascastlen@pitt.eduCASTLENUNSPECIFIED
Committee MemberTrauth, Jeanette M.trauth@pitt.eduTRAUTHUNSPECIFIED
Date: 15 April 2016
Date Type: Submission
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MHA - Master of Health Administration
Thesis Type: Master Essay
Refereed: No
Date Deposited: 07 Sep 2016 16:57
Last Modified: 02 May 2019 14:02
URI: http://d-scholarship.pitt.edu/id/eprint/27252

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