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Medical Oncology Workload in Europe: One Continent, Several Worlds.

B Seruga1, R Sullivan2, A Fundytus3

  • 1Division of Medical Oncology, Institute of Oncology Ljubljana, Ljubljana, Slovenia.

Clinical Oncology (Royal College of Radiologists (Great Britain))
|July 21, 2019
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Medical oncologists in Eastern Europe face significantly higher patient volumes and shorter consultation times than their Western European counterparts. This study highlights disparities in workload, emphasizing the need for policy interventions to address these challenges.

Keywords:
Europemedical oncologyworkload

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Area of Science:

  • Oncology
  • Healthcare Workforce Studies
  • Public Health

Background:

  • Increasing workload pressure on medical oncologists is anticipated globally.
  • Comprehensive data on the current workload of European medical oncologists is lacking.
  • This study presents European findings from a global survey on medical oncologist workload.

Purpose of the Study:

  • To assess and compare the clinical workload of medical oncologists across different European regions.
  • To identify key barriers affecting patient care due to workload.

Main Methods:

  • An online survey was distributed to chemotherapy-prescribing physicians across 21 European countries using a snowball sampling method.
  • Data were collected from 495 oncologists in 16 countries, comparing Eastern European countries (EECs) with Western European countries (WECs).
  • The primary workload metric was the annual number of new cancer patient consultations per oncologist.

Main Results:

  • Medical oncologists in EECs reported a higher median annual consults (225) compared to WECs (175).
  • A greater proportion of oncologists in EECs (35%) saw over 300 consults/year versus 18% in WECs.
  • Eastern European oncologists had shorter median consultation times (25 min) compared to WECs (45 min), with high clinical volumes cited as a major barrier in both regions.

Conclusions:

  • Medical oncologists in Eastern Europe experience a substantially higher clinical workload than those in Western Europe.
  • Urgent attention from European health policymakers and educators is required to address these workload disparities.
  • Strategies for future workforce planning and alternative care models are necessary to mitigate these challenges.