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 Vol. 31; no. 7; pp. 902 - 910 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Hoboken
Wiley Subscription Services, Inc., A Wiley Company
01.07.2009
Wiley |
| Subjects | |
| Online Access | Get full text |
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| 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 |
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| AbstractList | 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 BACKGROUNDThe management of patients with head and neck cancer is complex, and implementation of an integrated care program might improve the quality of care.METHODSA 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.RESULTSScores 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.CONCLUSIONAn integrated care program can improve several aspects of the management of patients with head and neck cancer. 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 The management of patients with head and neck cancer is complex, and implementation of an integrated care program might improve the quality of care. 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. 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. An integrated care program can improve several aspects of the management of patients with head and neck cancer. |
| Author | Merkx, Matthias A. W. van den Hoogen, Frank J. A. Grol, Richard P. Ouwens, Mariëlle M. M. T. J. Hermens, Rosella R. P. M. G. Hulscher, Marlies M. E. J. L. Wollersheim, Hub C. H. Marres, Henri A. M. |
| Author_xml | – sequence: 1 givenname: Mariëlle M. M. T. J. surname: Ouwens fullname: Ouwens, Mariëlle M. M. T. J. email: m.ouwens@iq.umcn.nl organization: IQ Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands – sequence: 2 givenname: Rosella R. P. M. G. surname: Hermens fullname: Hermens, Rosella R. P. M. G. organization: IQ Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands – sequence: 3 givenname: Marlies M. E. J. L. surname: Hulscher fullname: Hulscher, Marlies M. E. J. L. organization: IQ Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands – sequence: 4 givenname: Matthias A. W. surname: Merkx fullname: Merkx, Matthias A. W. organization: Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands – sequence: 5 givenname: Frank J. A. surname: van den Hoogen fullname: van den Hoogen, Frank J. A. organization: Department of Otorhinolaryngology, Head and Neck Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands – sequence: 6 givenname: Richard P. surname: Grol fullname: Grol, Richard P. organization: IQ Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands – sequence: 7 givenname: Hub C. H. surname: Wollersheim fullname: Wollersheim, Hub C. H. organization: IQ Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands – sequence: 8 givenname: Henri A. M. surname: Marres fullname: Marres, Henri A. M. organization: Department of Otorhinolaryngology, Head and Neck Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands |
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| Keywords | Human Stomatology ENT Health service Malignant tumor indicators Indicator Care disease management health services research Improvement Treatment Quality quality improvement ENT disease Head and neck cancer neoplasms Cancer |
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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... The management of patients with head and neck cancer is complex, and implementation of an integrated care program might improve the quality of care. A... Abstract Background. The management of patients with head and neck cancer is complex, and implementation of an integrated care program might improve the... BACKGROUNDThe management of patients with head and neck cancer is complex, and implementation of an integrated care program might improve the quality of... |
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| SubjectTerms | 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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