{"id":"https://openalex.org/W2184482738","doi":null,"title":"Aff ordable cancer care 1 Delivering maximum clinical benefi t at an aff ordable price: engaging stakeholders in cancer care","display_name":"Aff ordable cancer care 1 Delivering maximum clinical benefi t at an aff ordable price: engaging stakeholders in cancer care","publication_year":2014,"publication_date":"2014-01-01","ids":{"openalex":"https://openalex.org/W2184482738","mag":"2184482738"},"language":"en","primary_location":{"id":"mag:2184482738","doi":null,"is_oa":false,"landing_page_url":"https://www.thelancet.com/pdfs/journals/lanonc/PIIS1470-2045(13)70578-3.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null},"volume":null,"type":"article","indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054848999","display_name":"Thomas J. Smith","orcid":"https://orcid.org/0000-0003-3040-6434","observed_orcids":["https://orcid.org/0000-0003-3040-6434"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Thomas J. Smith","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-3040-6434","affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5059886787","display_name":"Ronan Joseph Kelly","orcid":"https://orcid.org/0000-0002-6446-2103","observed_orcids":["https://orcid.org/0000-0002-6446-2103"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ronan J. Kelly","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-6446-2103","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.25146459,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cancer-care-costs","display_name":"cancer care costs","score":0.8870000243186951},{"id":"https://openalex.org/keywords/cost-containment","display_name":"cost containment","score":0.5879999995231628},{"id":"https://openalex.org/keywords/value-based-health-care","display_name":"value-based care","score":0.5830000042915344},{"id":"https://openalex.org/keywords/stakeholder-engagement","display_name":"stakeholder engagement","score":0.8399999737739563},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.8270000219345093},{"id":"https://openalex.org/keywords/medical-imaging-utilization","display_name":"imaging utilization","score":0.8190000057220459},{"id":"https://openalex.org/keywords/expensive-cancer-drugs","display_name":"expensive cancer drugs","score":0.7649999856948853},{"id":"https://openalex.org/keywords/healthcare-models","display_name":"health care models","score":0.4819999933242798},{"id":"https://openalex.org/keywords/clinical-benefit","display_name":"clinical benefit","score":0.5040000081062317},{"id":"https://openalex.org/keywords/payers","display_name":"payers","score":0.40299999713897705},{"id":"https://openalex.org/keywords/pharmaceutical-industry","display_name":"pharmaceutical industry","score":0.6159999966621399}],"concepts":[{"id":"https://openalex.org/C2776291640","wikidata":"https://www.wikidata.org/wiki/Q2912517","display_name":"Value (mathematics)","level":2,"score":0.5623192191123962},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.5133780241012573},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5067465901374817},{"id":"https://openalex.org/C66887028","wikidata":"https://www.wikidata.org/wiki/Q382444","display_name":"Marginal cost","level":2,"score":0.5024199485778809},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4741054177284241},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.4135907292366028},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.3708604574203491},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3574785888195038},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.2723905146121979},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.12193629145622253},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.10919499397277832},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.08846661448478699},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"mag:2184482738","doi":null,"is_oa":false,"landing_page_url":"https://www.thelancet.com/pdfs/journals/lanonc/PIIS1470-2045(13)70578-3.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9763000011444092,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":74,"referenced_works":["https://openalex.org/W17986378","https://openalex.org/W110007275","https://openalex.org/W1966201952","https://openalex.org/W1971875890","https://openalex.org/W1975707333","https://openalex.org/W1981465693","https://openalex.org/W1983773556","https://openalex.org/W1983889550","https://openalex.org/W1985116317","https://openalex.org/W1987578786","https://openalex.org/W1988298616","https://openalex.org/W1990368957","https://openalex.org/W1992590101","https://openalex.org/W1996129969","https://openalex.org/W2004099959","https://openalex.org/W2005510524","https://openalex.org/W2006057469","https://openalex.org/W2014612184","https://openalex.org/W2014760393","https://openalex.org/W2021514695","https://openalex.org/W2025110241","https://openalex.org/W2026242899","https://openalex.org/W2029054379","https://openalex.org/W2030507444","https://openalex.org/W2036231654","https://openalex.org/W2038212555","https://openalex.org/W2039953424","https://openalex.org/W2042376976","https://openalex.org/W2044691837","https://openalex.org/W2050056063","https://openalex.org/W2050347430","https://openalex.org/W2052164496","https://openalex.org/W2054388008","https://openalex.org/W2059891928","https://openalex.org/W2060349413","https://openalex.org/W2060667786","https://openalex.org/W2068622355","https://openalex.org/W2069703793","https://openalex.org/W2076296993","https://openalex.org/W2080084961","https://openalex.org/W2086047003","https://openalex.org/W2103351853","https://openalex.org/W2106146838","https://openalex.org/W2110882721","https://openalex.org/W2111285159","https://openalex.org/W2111607134","https://openalex.org/W2113235727","https://openalex.org/W2119642155","https://openalex.org/W2132047269","https://openalex.org/W2132855179","https://openalex.org/W2135906122","https://openalex.org/W2138679191","https://openalex.org/W2139524347","https://openalex.org/W2148506894","https://openalex.org/W2148587601","https://openalex.org/W2150595530","https://openalex.org/W2153731940","https://openalex.org/W2154104512","https://openalex.org/W2155817836","https://openalex.org/W2157254135","https://openalex.org/W2160831015","https://openalex.org/W2161567135","https://openalex.org/W2166120122","https://openalex.org/W2166808562","https://openalex.org/W2167293921","https://openalex.org/W2169258216","https://openalex.org/W2170915815","https://openalex.org/W2317821126","https://openalex.org/W2325650448","https://openalex.org/W2332795037","https://openalex.org/W2416286649","https://openalex.org/W2586988750","https://openalex.org/W2602308906","https://openalex.org/W3012482054"],"related_works":["https://openalex.org/W2007060261","https://openalex.org/W2508000689","https://openalex.org/W3184473354","https://openalex.org/W2396186165","https://openalex.org/W2111285159","https://openalex.org/W2937060498","https://openalex.org/W2796147578","https://openalex.org/W2625917868","https://openalex.org/W2049162789","https://openalex.org/W2358307726"],"abstract_inverted_index":{"Cancer":[0],"costs":[1,119],"continue":[2,40],"to":[3,19,41,62,71,82,86,89,117,123],"increase":[4],"alarmingly":[5],"despite":[6],"much":[7],"debate":[8],"about":[9],"how":[10],"they":[11],"can":[12],"be":[13,59,87],"reduced.":[14],"The":[15],"oncology":[16],"community":[17],"needs":[18],"take":[20],"greater":[21],"responsibility":[22],"for":[23,50],"our":[24],"own":[25],"practice":[26],"patterns,":[27,104],"especially":[28],"when":[29],"using":[30],"expensive":[31],"tests":[32,77],"and":[33,55,65,69,74,78,107,120],"treatments":[34,79],"with":[35,45],"marginal":[36],"value:":[37],"we":[38,95],"cannot":[39],"accept":[42],"novel":[43],"therapeutics":[44],"very":[46],"small":[47],"benefi":[48,126],"ts":[49],"exorbitant":[51],"prices.":[52],"Patients,":[53],"payers,":[54],"pharmaceutical":[56],"communities":[57],"should":[58,80],"constructively":[60],"engaged":[61],"communicate":[63],"medically":[64],"economically":[66],"possible":[67],"goals,":[68],"eventually,":[70],"reduce":[72],"use":[73],"costs.":[75],"Diagnostic":[76],"have":[81,114],"show":[83],"true":[84],"value":[85],"added":[88],"existing":[90],"protocols.":[91],"In":[92],"this":[93],"article,":[94],"discuss":[96,121],"three":[97],"key":[98],"drivers":[99],"of":[100],"costs:":[101],"end-of-life":[102],"care":[103],"medical":[105],"imaging,":[106],"drugs.":[108],"We":[109],"propose":[110],"health-care":[111],"models":[112],"that":[113],"the":[115],"potential":[116],"decrease":[118],"solutions":[122],"maintain":[124],"clinical":[125],"t":[127],"at":[128],"an":[129],"aff":[130],"ordable":[131],"price.":[132]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2016-06-24T00:00:00"}
