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INTEGRATED CARE PATHWAYS IN LUNG CANCER: A QUALITY IMPROVEMENT PROJECT
Gianpiero Fasola1, Jessica Menis1, Alessandro Follador1
1Department of Oncology.
International Journal of Technology Assessment in Health Care
|February 7, 2018
Summary
Integrated care pathways (ICPs) improve non-small cell lung cancer (NSCLC) patient management. Periodic quality of care measurement is essential for clinical governance and pathway optimization.
Area of Science:
- Oncology
- Healthcare Management
Background:
- Non-small cell lung cancer (NSCLC) management requires integrated clinical and managerial expertise.
- Integrated care pathways (ICPs) offer a structured approach to enhance patient care.
- This study aimed to review NSCLC ICPs and identify quality improvement areas.
Purpose of the Study:
- To evaluate the effectiveness of Integrated Care Pathways (ICPs) for Non-Small Cell Lung Cancer (NSCLC) patients.
- To identify specific areas for quality improvement in NSCLC patient management.
- To assess the feasibility and impact of ICPs in a real-world clinical setting.
Main Methods:
- Retrospective review of electronic medical records for 169 NSCLC patients.
- Quality of Care (QoC) assessed using fifteen indicators aligned with international guidelines.
- Comparison of current QoC indicators with a 2008 retrospective study.
Main Results:
- 146 NSCLC patients were included in the analysis.
- Eight out of fifteen quality indicators did not meet established benchmarks.
- Proposals for redesigning NSCLC care pathways were developed for hospital management.
Conclusions:
- Integrated Care Pathways (ICPs) are a feasible and effective tool for managing NSCLC patients.
- Regular monitoring of Quality of Care (QoC) indicators is crucial for clinical governance.
- Continuous evaluation of ICPs supports ongoing optimization of patient pathways.
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