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Planning, implementation and operation of a personalized patient management system for subjects with first suspect of

János G Pitter1, Marcell Csanádi2, Annamária Szigeti3

  • 1Syreon Research Institute, Budapest, Hungary. janos.pitter@syreon.eu.

BMC Health Services Research
|February 23, 2019
PubMed
Abstract

Insights

OnkoNetwork, an integrated care model in Hungary, successfully provides timely, quality-assured cancer care through personalized patient pathways. This evaluation highlights its sustainable financial model and innovative professional roles, offering a benchmark for similar initiatives.

Area of Science:

  • Integrated care models
  • Healthcare management
  • Oncology patient pathways

Background:

  • OnkoNetwork is a novel integrated care model in Hungary for solid tumour patients.
  • It aims to improve clinical outcomes via timely, quality-assured, and defragmented healthcare services.
  • The SELFIE project is conducting a qualitative and quantitative evaluation of OnkoNetwork.

Purpose of the Study:

  • To qualitatively evaluate OnkoNetwork using the six components of the SELFIE conceptual framework.
  • To understand the implementation and functioning of the OnkoNetwork model.
  • To identify key success factors and barriers in integrated care for cancer patients.

Main Methods:

  • Analysis of programme documentation (published and grey literature).
  • 20 semi-structured interviews with diverse stakeholders (initiators, managers, physicians, patients, caregivers).
  • Mayring's content analysis method applied by two independent researchers to interview transcripts.

Main Results:

  • OnkoNetwork provides a comprehensive, personalized patient pathway for timely, quality-assured cancer care.
  • The model is financially sustainable without macro-level financing.
  • Innovative roles for non-physicians and physicians were implemented, supported by an IT application.

Conclusions:

  • OnkoNetwork serves as a successful benchmark for integrated care in Central and Eastern Europe.
  • The study systematically describes the model's implementation across the SELFIE framework's components.
  • Lessons learned from OnkoNetwork can inform the development of similar models in comparable healthcare settings.
Keywords:
CancerDelayDiagnosticsIntegrated careOnkoNetworkPatient pathwayQualitative studySELFIEThick description

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