Toward uniform and controlled clinical pathways in cancer care: a qualitative description

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Gianmauro NumicoOscar Bertetto

Abstract

The definition of clinical pathways (CPs) and their application are heterogeneous. Each center is used to choose whether to adopt this instrument or not and to variably conceive its features We consider CPs as the necessary description of the cancer patient journey and we emphasize their role as the user view of clinical processes rather than a local translation of guidelines. We proposed a unique CPs model for all the centers of our regional network, with the aim of making CPs accountable and comparable. We also established a central quality evaluation. Through a multi-step process, the model was proposed to the 22 Regional centers. Landmark characteristics of the project were: the involvement of hospital administrations; reference to a unique set of guidelines; a peer-review and open evaluation. Of the 374 expected CPs, 253 (68%) were received and evaluated. A median number of 131 items were the object of evaluation in each hub center and 77 in each spoke center. About 79.5% items were considered well described, 15.5% were absent and 5.0% partially described. The median percentage of fulfilled indicators was 85.6% in hub CPs and 82.2% in spoke CPs. Although, not all diseases were equally covered through the territory a high d...Continue Reading

References

Feb 14, 1998·BMJ : British Medical Journal·H CampbellM Porteous
Dec 9, 2003·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·M PanellaF Di Stanislao
Mar 26, 2010·The New England Journal of Medicine·Joseph S RossHarlan M Krumholz
May 31, 2013·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Eugene D Kreys, Jim M Koeller
Sep 3, 2014·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Audrey Alforque ThomasMichal Molcho
Aug 16, 2015·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Elizabeth TraceyBruce Armstrong
Jan 14, 2016·Journal of Oncology Practice·Robin T ZonLinda D Bosserman
Jan 15, 2016·Applied Clinical Informatics·W Dong, Z Huang
Mar 11, 2017·Journal of Oncology Practice·Robin T ZonLinda D Bosserman
Jun 21, 2017·American Journal of Surgery·Robert R GerardLaurence E McCahill
Jun 28, 2017·Clinical Cancer Research : an Official Journal of the American Association for Cancer Research·Edward AbrahamsKimberly Westrich
Jul 20, 2017·BMC Health Services Research·James K Elrod, John L Fortenberry
Feb 8, 2018·Journal of Oncology Practice·Bobby DalyLinda D Bosserman
Jun 21, 2018·Updates in Surgery·Maria BencivengaGiovanni de Manzoni

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
H G Dunn
Canadian Family Physician Médecin De Famille Canadien
L Fevang
California Medicine
E R PAOLINI
California Medicine
L H Garland
© 2022 Meta ULC. All rights reserved