Where are we going wrong
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Transcript of Where are we going wrong
Where are we going wrong
• Journalists never tell what is oke (and many things go well) no sensation???is struggle for life so sensational?
• Share responsibilites between government, medical staff, patients and investers, but all have different agenda’s!
If we had used the available
knowledge, this wouldn’t had happened!! You never
listened to us
If we would have communicated, this
would not have happened
Patient’s journey:Care givers involved: average 20 until 1st T
Patient’s journey• Question of organisation: logistics• Structure• Process• Planning • Responsabilities• Possibilities • Competence
Cancer care• Cost oriented
– Efficiency– Efficacy– >Cost- effectiveness
• Outcome oriented– Medical :
• Survival• 30 days mortality after surgery
• Patient oriented– Quality of life
Elements of a quality system for care
professionals organization
patientsaudit
education
research
Levels of measures and influences
National
Regional
Localindividual
Information Control signals
and actions
European/international
Patient’s journey
• Very complex• Many players• Different focusses and definitions
concerning what is right
Number of available indicators by country for population based CRs N=13 of 86
Indicators: stage; delay of 1st treatment; compliance to guidelines
Where are we going « wrong »?
• Patient does not know where to go• No information available on which
teams in which hospitals are good in which kind of cancer
• BUT: what is good??• How to get access to the dedicated
teams?(health care system)
Where are we going « wrong »?
• Cancer requests a multidisciplinary approach between at least 5 different disciplines:– Radiologist– Pathologist– Surgeon– Radiotherapist– Medical oncologist
• How do they work toghether? Who is responsible for what? How is the communication between them as the patient will be informed by at least 3 different specialists!!! How is paid for what!