MEASURING THE INTENSITY OF CARE COORDINATION FOR BLOOD CANCER PATIENTS IN FRANCE.
Author(s)
Mercier G1, Duflos C1, Kanouni T2, Chevalier J3, Thevenon J3, Cartron G2
1CHU Montpellier, Montpellier, France, 2CHU de Montpellier, Montpellier, France, 3Janssen-Cilag, Issy-les-Moulineaux, France
OBJECTIVES: The management of blood cancers requires a patient-centered, coordinated, care program. Care coordination is the organization of patient care to deliver appropriate health care services. Understanding and measuring care coordination is of utmost importance to improve patient care. Our aim was to measure the intensity of care coordination in blood cancer patients in France. METHODS: A retrospective, monocenter study was conducted in Montpellier University Hospital, France. All adult patients with blood cancer, enrolled in the intravenous chemotherapy care coordination program in 2013-2015 and followed-up during at least 3 months were included. Data were retrieved from the electronic medical records. Coordination intensity was defined as the sum of the number of contacts and coordination actions. We considered face-to-face and phone contacts between the coordination nurses and the other stakeholders including the patient, the nurses, the general practitioner, the pharmacist, and the laboratory. Coordination actions included treatment follow-up, blood tests follow-up and other actions. The probability of having an intense coordination intensity was modeled using a logistic regression. RESULTS: We included 267 patients aged 57 (SD: 19) on average. The median follow-up was 8.4 months. The average coordination intensity was equal to 11.5 (SD: 4.1) per patient per month, among which 2.8 (SD: 1.3) contacts and 8.7 (SD: 3) actions. The coordination intensity was higher for patients with chronic lymphocytic leukemia (p<0.05). In the multivariate analysis, it was not associated with any of the following factors: age, gender, blood cancer type, driving time to the hospital, and access to the general practitioner. CONCLUSIONS: Although the care coordination intensity varied widely between blood cancer patients in France, it was not associated with their demographic and clinical characteristics.
Conference/Value in Health Info
2017-11, ISPOR Europe 2017, Glasgow, Scotland
Value in Health, Vol. 20, No. 9 (October 2017)
Code
PHS105
Topic
Health Policy & Regulatory, Health Service Delivery & Process of Care
Topic Subcategory
Health Disparities & Equity, Hospital and Clinical Practices
Disease
Systemic Disorders/Conditions