Oncology care planning. Elements for care quality and management improving.

Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico
José Expósito HernándezComisión Asistencial del Plan Integral de Onclolgía

Abstract

The improvement of care quality depends on the education and skills of the professional team as well as on an adequate work method, which uses the right instruments of clinical management such as medical history, registers or protocols. Defining standardized criteria related to the oncology care quality and applying them to a group of hospitals within the framework of continuous improvement establishing comparisons among them. Information taken from 14 Andalusian public hospitals, in 2003 and first semester of 2004. A total of 35 variables were collected from official sources, validated studies and surveys as a starting point, grouped in four main issues (medical history, protocols, central commission and tumour sub-commissions), delays (diagnostic, treatment and early diagnostic), variability (cytostatics and radiotherapy), research (clinical trials and financed projects) and work loads. In 3 out of 14 centers medical histories are unique for each patient. In average, 3 of the 6 most frequent tumor locations have joint protocols. The delays for the diagnostic test vary from 1 to 23 days and from 11 to 29 days for treatments. The consumption increase of 12 cytostatics was of 71.8% (average of 602,413 euro per hospital). The ave...Continue Reading

References

Aug 3, 2002·BMJ : British Medical Journal·Silvio Garattini, Vittorio Bertele
May 10, 2003·International Journal of Radiation Oncology, Biology, Physics·R EscoUNKNOWN Spanish Society of Radiotherapy Oncology

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Citations

Feb 13, 2009·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·C CampsP T Sánchez

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