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Impact of an integrated care program for patients with head and neck cancer on the quality of care
Background. The management of patients with head and neck cancer is complex, and implementation of an integrated care program might improve the quality of care. Methods. A prospective before–after study was performed in 1 clinic for head and neck oncology on 311 adults with head and neck cancer to e...
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| Published in: | Head & neck 2009-07, Vol.31 (7), p.902-910 |
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| Main Authors: | , , , , , , , |
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| cites | cdi_FETCH-LOGICAL-c3911-4f9e9878d23ad0f0284065bfa35cc8a3683855d8d1d22d9ab5dec1515a6d77d73 |
| container_end_page | 910 |
| container_issue | 7 |
| container_start_page | 902 |
| container_title | Head & neck |
| container_volume | 31 |
| creator | Ouwens, Mariëlle M. M. T. J. Hermens, Rosella R. P. M. G. Hulscher, Marlies M. E. J. L. Merkx, Matthias A. W. van den Hoogen, Frank J. A. Grol, Richard P. Wollersheim, Hub C. H. Marres, Henri A. M. |
| description | Background.
The management of patients with head and neck cancer is complex, and implementation of an integrated care program might improve the quality of care.
Methods.
A prospective before–after study was performed in 1 clinic for head and neck oncology on 311 adults with head and neck cancer to evaluate an integrated care program.
Results.
Scores on the integrated care indicators showed that the implementation of the integrated care program led to relevant improvements, eg, waiting time for diagnostic procedures less than 10 days (improvement of 37%), support for stopping smoking (+37%), nutrition support (+44%), assessment of CT and MRI scans by a an expert radiologist (+23%), and number of patients in contact with the specialist nurses (+37%). The program had no relevant effects on the outcome indicators.
Conclusion.
An integrated care program can improve several aspects of the management of patients with head and neck cancer. © 2009 Wiley Periodicals, Inc. Head Neck, 2009 |
| doi_str_mv | 10.1002/hed.21041 |
| format | article |
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The management of patients with head and neck cancer is complex, and implementation of an integrated care program might improve the quality of care.
Methods.
A prospective before–after study was performed in 1 clinic for head and neck oncology on 311 adults with head and neck cancer to evaluate an integrated care program.
Results.
Scores on the integrated care indicators showed that the implementation of the integrated care program led to relevant improvements, eg, waiting time for diagnostic procedures less than 10 days (improvement of 37%), support for stopping smoking (+37%), nutrition support (+44%), assessment of CT and MRI scans by a an expert radiologist (+23%), and number of patients in contact with the specialist nurses (+37%). The program had no relevant effects on the outcome indicators.
Conclusion.
An integrated care program can improve several aspects of the management of patients with head and neck cancer. © 2009 Wiley Periodicals, Inc. Head Neck, 2009</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.21041</identifier><identifier>PMID: 19280664</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Aged ; Biological and medical sciences ; Cohort Studies ; Delivery of Health Care, Integrated - organization & administration ; disease management ; Female ; Head and Neck Neoplasms - therapy ; health services research ; Humans ; indicators ; Male ; Medical sciences ; neoplasms ; Otorhinolaryngology (head neck, general aspects and miscellaneous) ; Otorhinolaryngology. Stomatology ; Patient Satisfaction ; Patient-Centered Care - organization & administration ; Process Assessment (Health Care) ; Program Evaluation ; Quality Assurance, Health Care ; quality improvement ; Quality of Life ; Retrospective Studies ; Treatment Outcome ; Tumors</subject><ispartof>Head & neck, 2009-07, Vol.31 (7), p.902-910</ispartof><rights>Copyright © 2009 Wiley Periodicals, Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3911-4f9e9878d23ad0f0284065bfa35cc8a3683855d8d1d22d9ab5dec1515a6d77d73</citedby><cites>FETCH-LOGICAL-c3911-4f9e9878d23ad0f0284065bfa35cc8a3683855d8d1d22d9ab5dec1515a6d77d73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21589433$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19280664$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ouwens, Mariëlle M. M. T. J.</creatorcontrib><creatorcontrib>Hermens, Rosella R. P. M. G.</creatorcontrib><creatorcontrib>Hulscher, Marlies M. E. J. L.</creatorcontrib><creatorcontrib>Merkx, Matthias A. W.</creatorcontrib><creatorcontrib>van den Hoogen, Frank J. A.</creatorcontrib><creatorcontrib>Grol, Richard P.</creatorcontrib><creatorcontrib>Wollersheim, Hub C. H.</creatorcontrib><creatorcontrib>Marres, Henri A. M.</creatorcontrib><title>Impact of an integrated care program for patients with head and neck cancer on the quality of care</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background.
The management of patients with head and neck cancer is complex, and implementation of an integrated care program might improve the quality of care.
Methods.
A prospective before–after study was performed in 1 clinic for head and neck oncology on 311 adults with head and neck cancer to evaluate an integrated care program.
Results.
Scores on the integrated care indicators showed that the implementation of the integrated care program led to relevant improvements, eg, waiting time for diagnostic procedures less than 10 days (improvement of 37%), support for stopping smoking (+37%), nutrition support (+44%), assessment of CT and MRI scans by a an expert radiologist (+23%), and number of patients in contact with the specialist nurses (+37%). The program had no relevant effects on the outcome indicators.
Conclusion.
An integrated care program can improve several aspects of the management of patients with head and neck cancer. © 2009 Wiley Periodicals, Inc. Head Neck, 2009</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Delivery of Health Care, Integrated - organization & administration</subject><subject>disease management</subject><subject>Female</subject><subject>Head and Neck Neoplasms - therapy</subject><subject>health services research</subject><subject>Humans</subject><subject>indicators</subject><subject>Male</subject><subject>Medical sciences</subject><subject>neoplasms</subject><subject>Otorhinolaryngology (head neck, general aspects and miscellaneous)</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Patient Satisfaction</subject><subject>Patient-Centered Care - organization & administration</subject><subject>Process Assessment (Health Care)</subject><subject>Program Evaluation</subject><subject>Quality Assurance, Health Care</subject><subject>quality improvement</subject><subject>Quality of Life</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNp1kEtvEzEURi0Eog9Y8AeQNyCxmNbPsWeJ-kiLKkBqoUvrxr5Dhs4jtR21-fc4JGTHyg-d77v2IeQdZyecMXG6wHAiOFP8BTnkrDEVk8q83OyVrCQz6oAcpfSbMSZrJV6TA94Iy-paHZL59bAEn-nUUhhpN2b8FSFjoB4i0mWcynGg7RTpEnKHY070qcsLukAIJRHoiP6hwKPHSKeR5gXSxxX0XV5vOjctb8irFvqEb3frMflxeXF3dlXdfJtdn32-qbxsOK9U22BjjQ1CQmAtE1axWs9bkNp7C7K20modbOBBiNDAXAf0XHMNdTAmGHlMPm57y6sfV5iyG7rkse9hxGmVXG0UF9KqAn7agj5OKUVs3TJ2A8S148xthLoi1P0VWtj3u9LVfCi3e3JnsAAfdgAkD30bi4ou7TnBtW2UlIU73XJPXY_r_090Vxfn_0ZX20SXMj7vExAfylek0e7-68x9_3L_c3Ypbt25_AMnPJrT</recordid><startdate>200907</startdate><enddate>200907</enddate><creator>Ouwens, Mariëlle M. M. T. J.</creator><creator>Hermens, Rosella R. P. M. G.</creator><creator>Hulscher, Marlies M. E. J. L.</creator><creator>Merkx, Matthias A. W.</creator><creator>van den Hoogen, Frank J. A.</creator><creator>Grol, Richard P.</creator><creator>Wollersheim, Hub C. H.</creator><creator>Marres, Henri A. M.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200907</creationdate><title>Impact of an integrated care program for patients with head and neck cancer on the quality of care</title><author>Ouwens, Mariëlle M. M. T. J. ; Hermens, Rosella R. P. M. G. ; Hulscher, Marlies M. E. J. L. ; Merkx, Matthias A. W. ; van den Hoogen, Frank J. A. ; Grol, Richard P. ; Wollersheim, Hub C. H. ; Marres, Henri A. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3911-4f9e9878d23ad0f0284065bfa35cc8a3683855d8d1d22d9ab5dec1515a6d77d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Delivery of Health Care, Integrated - organization & administration</topic><topic>disease management</topic><topic>Female</topic><topic>Head and Neck Neoplasms - therapy</topic><topic>health services research</topic><topic>Humans</topic><topic>indicators</topic><topic>Male</topic><topic>Medical sciences</topic><topic>neoplasms</topic><topic>Otorhinolaryngology (head neck, general aspects and miscellaneous)</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Patient Satisfaction</topic><topic>Patient-Centered Care - organization & administration</topic><topic>Process Assessment (Health Care)</topic><topic>Program Evaluation</topic><topic>Quality Assurance, Health Care</topic><topic>quality improvement</topic><topic>Quality of Life</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ouwens, Mariëlle M. M. T. J.</creatorcontrib><creatorcontrib>Hermens, Rosella R. P. M. G.</creatorcontrib><creatorcontrib>Hulscher, Marlies M. E. J. L.</creatorcontrib><creatorcontrib>Merkx, Matthias A. W.</creatorcontrib><creatorcontrib>van den Hoogen, Frank J. A.</creatorcontrib><creatorcontrib>Grol, Richard P.</creatorcontrib><creatorcontrib>Wollersheim, Hub C. H.</creatorcontrib><creatorcontrib>Marres, Henri A. M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ouwens, Mariëlle M. M. T. J.</au><au>Hermens, Rosella R. P. M. G.</au><au>Hulscher, Marlies M. E. J. L.</au><au>Merkx, Matthias A. W.</au><au>van den Hoogen, Frank J. A.</au><au>Grol, Richard P.</au><au>Wollersheim, Hub C. H.</au><au>Marres, Henri A. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of an integrated care program for patients with head and neck cancer on the quality of care</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2009-07</date><risdate>2009</risdate><volume>31</volume><issue>7</issue><spage>902</spage><epage>910</epage><pages>902-910</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background.
The management of patients with head and neck cancer is complex, and implementation of an integrated care program might improve the quality of care.
Methods.
A prospective before–after study was performed in 1 clinic for head and neck oncology on 311 adults with head and neck cancer to evaluate an integrated care program.
Results.
Scores on the integrated care indicators showed that the implementation of the integrated care program led to relevant improvements, eg, waiting time for diagnostic procedures less than 10 days (improvement of 37%), support for stopping smoking (+37%), nutrition support (+44%), assessment of CT and MRI scans by a an expert radiologist (+23%), and number of patients in contact with the specialist nurses (+37%). The program had no relevant effects on the outcome indicators.
Conclusion.
An integrated care program can improve several aspects of the management of patients with head and neck cancer. © 2009 Wiley Periodicals, Inc. Head Neck, 2009</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>19280664</pmid><doi>10.1002/hed.21041</doi><tpages>9</tpages></addata></record> |
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| ispartof | Head & neck, 2009-07, Vol.31 (7), p.902-910 |
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| language | eng |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Aged Biological and medical sciences Cohort Studies Delivery of Health Care, Integrated - organization & administration disease management Female Head and Neck Neoplasms - therapy health services research Humans indicators Male Medical sciences neoplasms Otorhinolaryngology (head neck, general aspects and miscellaneous) Otorhinolaryngology. Stomatology Patient Satisfaction Patient-Centered Care - organization & administration Process Assessment (Health Care) Program Evaluation Quality Assurance, Health Care quality improvement Quality of Life Retrospective Studies Treatment Outcome Tumors |
| title | Impact of an integrated care program for patients with head and neck cancer on the quality of care |
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