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Identifying Coordination and Continuity of Care Indicators for Population-Based Cancer Screening Programs: A Delphi
Llucia Benito1, Laura de la Cueva Ariza, Pilar Delgado-Hito
1Llucia Benito, PhD, RN, is Nurse, Catalan Institute of Oncology, L'Hospitalet de Llobregat and Researcher, IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain, and Associate Professor, School of Nursing, University of Barcelona, Spain. Laura de la Cueva Ariza, RN, is Professor, School of Nursing, University of Barcelona, Spain, and Researcher, IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain. Pilar Delgado-Hito, PhD, RN, is Professor, School of Nursing, University of Barcelona, Spain, and Researcher, IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain. M. Antonia Martinez Momblan, PhD, RN, is Professor, School of Nursing, University of Barcelona, Spain. Marta Romero García, is Professor, School of Nursing, University of Barcelona, Spain, and Researcher, IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain. Montse García, PhD, BSc, is Researcher, Catalan Institute of Oncology and IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain.
This study identified six core indicators for improving cancer screening programs. These focus on referrals, waiting times, professional understanding, information flow, and participant perception for better care coordination and continuity.
Area of Science:
- Healthcare Quality Improvement
- Public Health Screening Programs
- Oncology Nursing
Background:
- Continuity of care and care coordination are vital in healthcare systems.
- European guidelines for cancer screening lack specific indicators for coordination and continuity.
- Existing guidelines do not evaluate care coordination during cancer screening processes.
Purpose of the Study:
- To identify quality indicators for care coordination and continuity in population-based cancer screening.
- To develop measurable metrics for evaluating the coordination of breast and colorectal cancer screening programs.
Main Methods:
- A two-round Delphi study was employed.
- Thirty cancer screening nurses participated in the study.
- The Delphi method facilitated consensus on quality indicators.
Main Results:
- Six core indicators were identified through Delphi consensus.
- Indicators include referral adequacy, waiting times, professional understanding, information flow, and participant perception/understanding.
- These indicators address key aspects of care coordination and continuity in screening.
Conclusions:
- Evaluating these indicators is essential for quality improvement in cancer screening.
- A system for measuring these indicators can enable outcome comparisons across programs.
- The identified indicators provide a framework for enhancing patient care and program effectiveness.
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