Organizing medical oncology care at a regional level and its subsequent impact on the quality of early breast cancer management: a before-after study.

Fiche publication


Date publication

juillet 2014

Journal

BMC health services research

Auteurs

Membres identifiés du Cancéropôle Est :
Pr PIVOT Xavier, Dr WORONOFF Anne-Sophie


Tous les auteurs :
Voidey A, Pivot X, Woronoff AS, Nallet G, Cals L, Schwetterle F, Limat S

Résumé

One of the main measures of the French national cancer plan is to encourage physicians to work collectively, and to minimize territorial inequities in access to care by rethinking the geographical distribution of oncologists. For this reason, cancer care services are currently being reorganized at national level. A new infrastructure for multidisciplinary cancer care delivery has been put in place in our region. Patients can receive multidisciplinary health care services nearer their homes, thanks to a mobile team of oncologists. The objective of our study was to assess, using a quality approach, the impact on medical management and on the costs of treating early breast cancer, of the new regional structure for cancer care delivery.

Mots clés

Adult, Aged, Aged, 80 and over, Antineoplastic Agents, therapeutic use, Breast Neoplasms, drug therapy, Controlled Before-After Studies, Disease Management, Female, France, epidemiology, Health Services Research, Humans, Medical Oncology, organization & administration, Middle Aged, Quality of Health Care, Registries

Référence

BMC Health Serv Res. 2014 Jul;14:326