scholarly journals Consensus statement: summary of the Quebec Lung Cancer Network recommendations for prioritizing patients with thoracic cancers in the context of the COVID-19 pandemic

2020 ◽  
Vol 27 (3) ◽  
Author(s):  
N. Blais ◽  
M. Bouchard ◽  
M. Chinas ◽  
H. Lizotte ◽  
M. Morneau ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Health Care ◽  
Health Care System ◽  
Standard Of Care ◽  
Tumor Board ◽  
Cancer Center ◽  
Innovative Therapies ◽  
Services Sociaux ◽  
Cancer Network ◽  
Care System

Background. The emergence of COVID-19 has the potential to change the way the health care system can accommodate various patient populations and may impact patients with non-COVID-19 problematics. The Quebec Lung Cancer Network which oversees the thoracic oncology services in the province of Quebec under the direction of the Ministère de la santé et des services sociaux convened in order to develop recommendations to plan for the potential disruption of services in thoracic oncology in the province of Quebec. This summary has been adapted from the original document posted on the Programme Québécois du Cancer web site at: https://www.msss.gouv.qc.ca/professionnels/documents/coronavirus-2019-ncov/PJ1_Recommandations_oncologie-thoracique-200415.pdf Methods. Optimization plans to the health care system as well as potential prioritization of services were discussed according to varying levels of activity. For each level of activity scenario, propositions were suggested on the services and treatments to prioritize, those that may need to be postponed and well as potential alternatives to care. Results. The principal recommendation is that the cancer center executive committee and the multidisciplinary tumor board should always try to find a solution to maintain standard of care therapy to all patients with thoracic tumors using as needed novel approaches to treatment and the adoption of a network approach to care. Conclusion. The COVID-19 pandemic effect on the health care system remains unpredictable and requires that cancer teams unite and offer the most efficient and innovative therapies to all patients under the variable conditions that may be forced upon them. 

scholarly journals Future Innovative Therapies for Parkinson's Disease May Question Sustainability of Our Health Care System

2016 ◽  
Vol 19 (7) ◽  
pp. A438 ◽  
Author(s):  
E Hanna ◽  
F Ma ◽  
X Cheng ◽  
J Dorey ◽  
S Aballéa ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Health Care ◽  
Parkinson's Disease ◽  
Health Care System ◽  
Innovative Therapies ◽  
Care System

Attitudes of lung cancer patients as predictors of patients delay time in Serbian public health care system.

2014 ◽  
Vol 32 (15_suppl) ◽  
pp. e12522-e12522
Author(s):  
Dragana Jovanovic ◽  
Milan Rancic ◽  
Branislav Perin ◽  
Davorin Radosavljevic ◽  
Marta Velinovic ◽  
...  
Keyword(s):  
Public Health ◽  
Lung Cancer ◽  
Health Care ◽  
Cancer Patients ◽  
Health Care System ◽  
Delay Time ◽  
Public Health Care ◽  
Public Health Care System ◽  
Lung Cancer Patients ◽  
Care System

scholarly journals Opportunity is the greatest barrier to providing palliative care to advanced colorectal cancer patients: a survey of oncology clinicians

2018 ◽  
Vol 25 (5) ◽  
Author(s):  
M. A. Earp ◽  
A. Sinnarajah ◽  
M. Kerba ◽  
P. A. Tang ◽  
J. Rodriquez-Arguello ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Palliative Care ◽  
Health Care System ◽  
Health Care Providers ◽  
Rural Areas ◽  
Theoretical Domains Framework ◽  
Standard Of Care ◽  
Care Providers ◽  
Care System

Palliative care (pc) is part of the recommended standard of care for patients with advanced cancer. Nevertheless, delivery of pc is inconsistent. Patients who could benefit from pc services are often referred late—or not at all. In planning for improvements to oncology pc practice in our health care system, we sought to identify barriers to the provision of earlier pc, as perceived by health care providers managing patients with metastatic colorectal cancer (mcrc). We used the Michie Theoretical Domains Framework (tdf) and Behaviour Change Wheel (bcw), together with knowledge of previously identified barriers, to develop a 31-question survey. The survey was distributed by e-mail to mcrc health care providers, including physicians, nurses, and allied staff. Responses were obtained from 57 providers (40% response rate).The most frequently cited barriers were opportunity-related—specifically, lack of time, of clinic space for consultations, and of access to specialist pc staff or services. Qualitative responses revealed that resource limitations varied by cancer centre location. In urban centres, time and space were key barriers. In rural areas, access to specialist pc was the main limiter. Self-perceived capability to manage pc needs was a barrier for 40% of physicians and 30% of nurses. Motivation was the greatest facilitator, with 89% of clinicians perceiving that patients benefit from pc. Based on the Michie tdf and bcw model, interventions that best address the identified barriers are enablement and environmental restructuring. Those findings are informing the development of an intervention plan to improve oncology pc practices in a publicly funded health care system.

scholarly journals Cost-Effectiveness of Maintenance Pemetrexed in Patients with Advanced Nonsquamous-Cell Lung Cancer from the Perspective of the Swiss Health Care System

2012 ◽  
Vol 15 (1) ◽  
pp. 65-71 ◽  
Author(s):  
Klazien Matter-Walstra ◽  
Markus Joerger ◽  
Ursula Kühnel ◽  
Thomas Szucs ◽  
Bernhard Pestalozzi ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Health Care ◽  
Cost Effectiveness ◽  
Health Care System ◽  
Cell Lung Cancer ◽  
Swiss Health ◽  
Care System

scholarly journals Neighborhood Disadvantage and Lung Cancer Incidence in Ever-Smokers at a Safety Net Health-Care System

CHEST Journal ◽  
2020 ◽  
Vol 157 (4) ◽  
pp. 1021-1029 ◽  
Author(s):  
Yosra Adie ◽  
Daniel J. Kats ◽  
Abdulhakim Tlimat ◽  
Adam Perzynski ◽  
Jarrod Dalton ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Health Care ◽  
Health Care System ◽  
Cancer Incidence ◽  
Neighborhood Disadvantage ◽  
Safety Net ◽  
Lung Cancer Incidence ◽  
Care System

The Development of a Telemedical Cancer Center within the Veterans Affairs Health Care System: A Report of Preliminary Clinical Results

2002 ◽  
Vol 8 (1) ◽  
pp. 123-130 ◽  
Author(s):  
Kevin G. Billingsley ◽  
David L. Schwartz ◽  
Susan Lentz ◽  
Eric Vallières ◽  
R. Bruce Montgomery ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Clinical Results ◽  
Veterans Affairs ◽  
Cancer Center ◽  
System A ◽  
Care System

scholarly journals Improvements in hospice utilization among patients with advanced-stage lung cancer in an integrated health care system

Cancer ◽  
2017 ◽  
Vol 124 (2) ◽  
pp. 426-433 ◽  
Author(s):  
Donald R. Sullivan ◽  
Linda Ganzini ◽  
Jodi A. Lapidus ◽  
Lissi Hansen ◽  
Patricia A. Carney ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Health Care ◽  
Health Care System ◽  
Integrated Health Care ◽  
Advanced Stage ◽  
Integrated Health ◽  
Integrated Health Care System ◽  
Advanced Stage Lung Cancer ◽  
Stage Lung Cancer ◽  
Care System

scholarly journals The “little big things”: A qualitative study of ovarian cancer survivors and their experiences with the health care system.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 252-252
Author(s):  
Ana Isabel Tergas ◽  
Ana Angarita ◽  
Angelica Cristello ◽  
Melissa Lippitt ◽  
Amanda Nickles Fader ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Health Care ◽  
Cancer Survivors ◽  
Health Care System ◽  
Well Being ◽  
Care Team ◽  
Cancer Center ◽  
Team Approach ◽  
Efficient Delivery ◽  
Care System

252 Background: Navigating a complex and ever-changing health care system can be stressful and detrimental to psychosocial well-being for patients with serious illness. This study explored women’s experiences navigating the health care system during treatment of ovarian cancer. Methods: Focus groups moderated by trained investigators were conducted with ovarian cancer survivors at an academic cancer center. Personal experiences with cancer treatment, provider relationships, barriers to care, and the health care system were explored. Sessions were audiotaped, transcribed, and coded using grounded theory. Subsequent one-on-one interviews were conducted to further evaluate common themes. Results: Sixteen ovarian cancer survivors with a median age of 59 years participated in the focus group study.Provider consistency, personal touch, and patient advocacy positively impacted care experience.Treatment with a known provider, who was well acquainted with the individual’s medical history, was deemed an invaluable aspect of care. Negative experiences that burdened patients, referred to as the “Little Big Things”, included systems-based challenges: scheduling, wait times, pharmacy, transportation, parking, financial, insurance and discharge. Consistency, a “care-team” approach, effective communication, and efficient connection to resources were suggested as ways to improve patients’ experiences. Conclusions: Systems-based challenges were perceived as burdens to ovarian cancer survivors. The role of a consistent, accessible care team and efficient delivery of resources in the care of women with ovarian cancer should be explored further.

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