Place of coordination of complex pathways in oncology by coordinating private nurses

摘要

Background > The complexity of the hospital-city core pathway is o real challenge because of the lock of coordination and communication between many stakeholders. As part of o call for projects from the General Directorate of Healthcare Provision, on experiment involving private oncology coordinating nurses was developed to address this issue. To our knowledge, there is no evaluation so for of such a protocol. Methods > This single-center retrospective study focused on data from the ONCIDEC program between 2015 and 2018, where 28 private nurses provided a 24/7 hotline. The objective was to qualitatively assess the coordination of this system. The nature and number of calls, patient satisfaction and medico-economic parameters were assessed. Results > More than a hundred patients (n = 114) were included in this device (mean age: 72 +/- 12 years). The most frequent reasons for calls concerned the patient's general condition (35 %) and home treatment follow-ups (73 %) but also referrals to the primary doctor (4 %), which helped avoiding hospitalizations. The patients were satisfied with the experiment (overall score of 8.4/10). Discussion > Thanks to the ONCIDEC program, patients were able to benefit from more appropriate care through a privileged interlocutor by making their care pathway more fluid and avoiding hospitalizations. It would be interesting to confirm these results by means of a study with a higher level of evidence, by comparing this protocol to conventional hospital coordination.