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Improving Cancer Care Coordination: Challenges and Solutions

Understanding the complexities of cancer care coordination involves shared responsibilities among various stakeholders like the government, medical staff, patients, and investors. Communication gaps can lead to inefficiencies in the patient journey, impacting aspects such as logistics, processes, and outcomes. A quality care system requires coordination between research organizations, professionals, auditors, and patient education. The multidisciplinary nature of cancer care necessitates effective collaboration between radiologists, pathologists, surgeons, radiotherapists, and medical oncologists. Enhancing communication and defining roles within the healthcare system are crucial for delivering optimal care to cancer patients.

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Improving Cancer Care Coordination: Challenges and Solutions

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  1. Where are wegoingwrong • Journalistsnever tell whatisoke (and manythings go well)  no sensation???is struggle for life sosensational? • Shareresponsibilitesbetweengovernment, medical staff, patients and investers, but all have differentagenda’s!

  2. If wewould have communicated, thiswould not have happened You neverlistened to us

  3. Patient’sjourney:Care giversinvolved: average 20 until 1st T

  4. Patient’sjourney • Question of organisation: logistics • Structure • Process • Planning • Responsabilities • Possibilities • Competence

  5. Cancer care • Costoriented • Efficiency • Efficacy • >Cost- effectiveness • Outcomeoriented • Medical : • Survival • 30 daysmortalityaftersurgery • Patient oriented • Quality of life

  6. Elements of a quality system for care research organization professionals audit patients education

  7. National Regional Local individual Control signals and actions Information Levels of measures and influences European/international

  8. Patient’sjourney • Verycomplex • Manyplayers • Differentfocusses and definitionsconcerningwhatis right

  9. Number of available indicators by country for population based CRs N=13 of 86 Indicators: stage; delay of 1st treatment; compliance to guidelines

  10. Where are wegoing « wrong »? • Patient does not know where to go • No information available on which teams in whichhospitals are good in whichkind of cancer • BUT: whatis good?? • How to getaccess to the dedicated teams?(health care system)

  11. Where are wegoing « wrong »? • Cancer requests a multidisciplinaryapproachbetweenat least 5 different disciplines: • Radiologist • Pathologist • Surgeon • Radiotherapist • Medicaloncologist • How do theyworktoghether? Whoisresponsible for what? How is the communication betweenthem as the patient willbeinformed by at least 3 differentspecialists!!! How ispaid for what!

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