Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Where are we going wrong • Journalists never tell what is oke (and many things go well) no sensation???is struggle for life so sensational? • Share responsibilites between government, medical staff, patients and investers, but all have different agenda’s! If we would have the available used If we had had not knowledge, this wouldn’t communicated, this would happened!! have happened You never listened to us Patient’s journey: Care givers involved: average 20 until 1st T Patient’s journey • • • • • • • Question of organisation: logistics Structure Process Planning Responsabilities Possibilities Competence Cancer care • Cost oriented – Efficiency – Efficacy – >Cost- effectiveness • Outcome oriented – Medical : • Survival • 30 days mortality after surgery • Patient oriented – Quality of life Elements of a quality system for care research professionals organization audit patients education Levels of measures and influences European/international National Control signals and actions Regional Local individual Information Patient’s journey • Very complex • Many players • Different focusses and definitions concerning what is right Number of available indicators by country for population based CRs N=13 of 86 Indicators: stage; delay of 1st treatment; compliance to guidelines Where are we going « wrong »? • Patient does not know where to go • No information available on which teams in which hospitals are good in which kind of cancer • BUT: what is good?? • How to get access to the dedicated teams?(health care system) Where are we going « wrong »? • Cancer requests a multidisciplinary approach between at least 5 different disciplines: – – – – – Radiologist Pathologist Surgeon Radiotherapist Medical oncologist • How do they work toghether? Who is responsible for what? How is the communication between them as the patient will be informed by at least 3 different specialists!!! How is paid for what!