Patient and Health Care Professional Perspectives: A Case Study of the Lung Cancer Integrated Care Pathway

Introduction: The purpose of this study was to evaluate the perception of the quality of care, considering both patient experience and health care professionals’ perceptions as well as patient outcome measures of an integrated lung cancer pathway.  Methods: A cross-sectional study was conducted in 2...

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Main Authors: Francesca Bravi, Eugenio Di Ruscio, Antonio Frassoldati, Giorgio Narciso Cavallesco, Giorgia Valpiani, Anna Ferrozzi, Ulrich Wienand, Tiziano Carradori
Format: Article
Language:English
Published: Ubiquity Press 2018-10-01
Series:International Journal of Integrated Care
Subjects:
Online Access:https://www.ijic.org/articles/3972
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author Francesca Bravi
Eugenio Di Ruscio
Antonio Frassoldati
Giorgio Narciso Cavallesco
Giorgia Valpiani
Anna Ferrozzi
Ulrich Wienand
Tiziano Carradori
author_facet Francesca Bravi
Eugenio Di Ruscio
Antonio Frassoldati
Giorgio Narciso Cavallesco
Giorgia Valpiani
Anna Ferrozzi
Ulrich Wienand
Tiziano Carradori
author_sort Francesca Bravi
collection DOAJ
description Introduction: The purpose of this study was to evaluate the perception of the quality of care, considering both patient experience and health care professionals’ perceptions as well as patient outcome measures of an integrated lung cancer pathway.  Methods: A cross-sectional study was conducted in 2016 at Ferrara University Hospital, Italy. OPportunity for Treatment In ONcology (OPTION) questionnaires were administered to 77 patients, and the Care Process Self-Evaluation Tool (CPSET) questionnaires were given to 38 health care professionals. The effectiveness of the pathway was evaluated by analysing the tool’s positive impact on lung cancer surgery volume and 30-day mortality.  Results: Seventy-seven patients were enrolled, and 38 health care professionals assessed the CPSET questionnaire. The highest scores were related to “respect” (100%), “satisfaction” (98.7%), and “trust” (97.4%) on the OPTION and to “patient-focused vision” (97.2%) and “patient engagement” (94.4%) on the CPSET. The lowest scores were related to “information” (26%) and “cooperation with general practitioner” (17.6%) on the OPTION and “cooperation between the hospital and primary care” (23.5%) for the CPSET. The outcomes analysis shows an increase in the volume of activity and a decrease in 30-day mortality after pathway implementation.  Discussion: The lung cancer pathway is a patient-centred intervention that enables care to be shaped for patient needs in order to improve the quality and efficiency of service and clinical outcome.
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spelling doaj.art-5aba41a7ac484e9aa8dfe6c71a8cd2b32022-12-22T01:06:35ZengUbiquity PressInternational Journal of Integrated Care1568-41562018-10-0118410.5334/ijic.39724067Patient and Health Care Professional Perspectives: A Case Study of the Lung Cancer Integrated Care PathwayFrancesca Bravi0Eugenio Di Ruscio1Antonio Frassoldati2Giorgio Narciso Cavallesco3Giorgia Valpiani4Anna Ferrozzi5Ulrich Wienand6Tiziano Carradori7Research Innovation Quality and Accreditation Unit, S. Anna University Hospital of Ferrara, FerraraS. Anna University Hospital of Ferrara, FerraraClinical Oncology, Department of Morphology, Surgery and Experimental Medicine, S Anna University Hospital, FerraraS. Anna University Hospital of Ferrara, Ferrara; Department of Morphology, Experimental Medicine and Surgery, University of Ferrara, FerraraResearch Innovation Quality and Accreditation Unit, S. Anna University Hospital of Ferrara, FerraraFerrara University HospitalClinical Audit, Healthcare Organisations Accreditation at Free Lance, FerraraS. Anna University Hospital of Ferrara, FerraraIntroduction: The purpose of this study was to evaluate the perception of the quality of care, considering both patient experience and health care professionals’ perceptions as well as patient outcome measures of an integrated lung cancer pathway.  Methods: A cross-sectional study was conducted in 2016 at Ferrara University Hospital, Italy. OPportunity for Treatment In ONcology (OPTION) questionnaires were administered to 77 patients, and the Care Process Self-Evaluation Tool (CPSET) questionnaires were given to 38 health care professionals. The effectiveness of the pathway was evaluated by analysing the tool’s positive impact on lung cancer surgery volume and 30-day mortality.  Results: Seventy-seven patients were enrolled, and 38 health care professionals assessed the CPSET questionnaire. The highest scores were related to “respect” (100%), “satisfaction” (98.7%), and “trust” (97.4%) on the OPTION and to “patient-focused vision” (97.2%) and “patient engagement” (94.4%) on the CPSET. The lowest scores were related to “information” (26%) and “cooperation with general practitioner” (17.6%) on the OPTION and “cooperation between the hospital and primary care” (23.5%) for the CPSET. The outcomes analysis shows an increase in the volume of activity and a decrease in 30-day mortality after pathway implementation.  Discussion: The lung cancer pathway is a patient-centred intervention that enables care to be shaped for patient needs in order to improve the quality and efficiency of service and clinical outcome.https://www.ijic.org/articles/3972Critical PathwaysContinuity of CareLung CancerPatient Centered CareHealth services researchCPSET questionnaire
spellingShingle Francesca Bravi
Eugenio Di Ruscio
Antonio Frassoldati
Giorgio Narciso Cavallesco
Giorgia Valpiani
Anna Ferrozzi
Ulrich Wienand
Tiziano Carradori
Patient and Health Care Professional Perspectives: A Case Study of the Lung Cancer Integrated Care Pathway
International Journal of Integrated Care
Critical Pathways
Continuity of Care
Lung Cancer
Patient Centered Care
Health services research
CPSET questionnaire
title Patient and Health Care Professional Perspectives: A Case Study of the Lung Cancer Integrated Care Pathway
title_full Patient and Health Care Professional Perspectives: A Case Study of the Lung Cancer Integrated Care Pathway
title_fullStr Patient and Health Care Professional Perspectives: A Case Study of the Lung Cancer Integrated Care Pathway
title_full_unstemmed Patient and Health Care Professional Perspectives: A Case Study of the Lung Cancer Integrated Care Pathway
title_short Patient and Health Care Professional Perspectives: A Case Study of the Lung Cancer Integrated Care Pathway
title_sort patient and health care professional perspectives a case study of the lung cancer integrated care pathway
topic Critical Pathways
Continuity of Care
Lung Cancer
Patient Centered Care
Health services research
CPSET questionnaire
url https://www.ijic.org/articles/3972
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