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Shifting specialized oncological care from hospital- to home-setting : is there support among patients, specialists and general practitioners?

Author
Organization
Abstract
Objectives: Oncological home-hospitalization (OHH) might be a patient-centred approach to deal with the increasing burden of cancer on health-care facilities and finances. Before implementation into practice, its feasibility, costs and support among stakeholders should be evaluated. The purpose of this trial was to explore patients', specialists' and general practitioners' (GPs) perspectives towards the opportunities of implementing OHH within the Belgian health-care system. Methods: A regional cross-sectional survey study was launched in order to investigate the stakeholders' views on OHH and the current cancer care focusing on integration of primary care and continuous care. Results: Of the responders, 37 out of 163 patients (23%), 45 of 62 GPs (73%) and 10 of 15 specialists (67%) feel positive about the opportunities for OHH. Nevertheless, 11/15 specialists (73%) and 51/62 GPs (82%) feel primary care might currently be (too) little involved in order to ensure continuous care for cancer patients. Opportunities for improved continuous care are seen in better communication between primary care and hospital, and more patient contacts for primary care during the cancer treatment process. Conclusion: The results of this local survey study demonstrated there is support among different stakeholder groups for the implementation of OHH within the Belgian health-care context. However, some barriers impeding transmural continuous care should be tackled before implementing such model into practice. Better communication between health-care professionals and more patients contacts are suggested, and an adjusted legal and financial framework is required.
Keywords
Cancer care, home-hospitalization, survey, patients, oncologists, general practitioners, MULTIPLE-MYELOMA, CANCER, BORTEZOMIB, DELIVERY

Citation

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MLA
Cool, Lieselot, et al. “Shifting Specialized Oncological Care from Hospital- to Home-Setting : Is There Support among Patients, Specialists and General Practitioners?” ACTA CLINICA BELGICA, 2020.
APA
Cool, L., Brewaeys, C., Viaene, S., Missiaen, J., Lycke, M., Lefebvre, T., … Van Eygen, K. (2020). Shifting specialized oncological care from hospital- to home-setting : is there support among patients, specialists and general practitioners? ACTA CLINICA BELGICA.
Chicago author-date
Cool, Lieselot, Céline Brewaeys, Stefaan Viaene, Jana Missiaen, Michelle Lycke, Tessa Lefebvre, Laura Tack, et al. 2020. “Shifting Specialized Oncological Care from Hospital- to Home-Setting : Is There Support among Patients, Specialists and General Practitioners?” ACTA CLINICA BELGICA.
Chicago author-date (all authors)
Cool, Lieselot, Céline Brewaeys, Stefaan Viaene, Jana Missiaen, Michelle Lycke, Tessa Lefebvre, Laura Tack, Veerle Foulon, Hans Pottel, Philip Debruyne, Dominique Vandijck, and Koen Van Eygen. 2020. “Shifting Specialized Oncological Care from Hospital- to Home-Setting : Is There Support among Patients, Specialists and General Practitioners?” ACTA CLINICA BELGICA.
Vancouver
1.
Cool L, Brewaeys C, Viaene S, Missiaen J, Lycke M, Lefebvre T, et al. Shifting specialized oncological care from hospital- to home-setting : is there support among patients, specialists and general practitioners? ACTA CLINICA BELGICA. 2020;
IEEE
[1]
L. Cool et al., “Shifting specialized oncological care from hospital- to home-setting : is there support among patients, specialists and general practitioners?,” ACTA CLINICA BELGICA, 2020.
@article{8636704,
  abstract     = {Objectives: Oncological home-hospitalization (OHH) might be a patient-centred approach to deal with the increasing burden of cancer on health-care facilities and finances. Before implementation into practice, its feasibility, costs and support among stakeholders should be evaluated. The purpose of this trial was to explore patients', specialists' and general practitioners' (GPs) perspectives towards the opportunities of implementing OHH within the Belgian health-care system.
Methods: A regional cross-sectional survey study was launched in order to investigate the stakeholders' views on OHH and the current cancer care focusing on integration of primary care and continuous care.
Results: Of the responders, 37 out of 163 patients (23%), 45 of 62 GPs (73%) and 10 of 15 specialists (67%) feel positive about the opportunities for OHH. Nevertheless, 11/15 specialists (73%) and 51/62 GPs (82%) feel primary care might currently be (too) little involved in order to ensure continuous care for cancer patients. Opportunities for improved continuous care are seen in better communication between primary care and hospital, and more patient contacts for primary care during the cancer treatment process.
Conclusion: The results of this local survey study demonstrated there is support among different stakeholder groups for the implementation of OHH within the Belgian health-care context. However, some barriers impeding transmural continuous care should be tackled before implementing such model into practice. Better communication between health-care professionals and more patients contacts are suggested, and an adjusted legal and financial framework is required.},
  author       = {Cool, Lieselot and Brewaeys, Céline and Viaene, Stefaan and Missiaen, Jana and Lycke, Michelle and Lefebvre, Tessa and Tack, Laura and Foulon, Veerle and Pottel, Hans and Debruyne, Philip and Vandijck, Dominique and Van Eygen, Koen},
  issn         = {1784-3286},
  journal      = {ACTA CLINICA BELGICA},
  keywords     = {Cancer care,home-hospitalization,survey,patients,oncologists,general practitioners,MULTIPLE-MYELOMA,CANCER,BORTEZOMIB,DELIVERY},
  language     = {eng},
  title        = {Shifting specialized oncological care from hospital- to home-setting : is there support among patients, specialists and general practitioners?},
  url          = {http://dx.doi.org/10.1080/17843286.2019.1605467},
  year         = {2020},
}

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