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Outpatient Cancer Care Delivery in the Context of E-Oncology: A French Perspective on “Cancer outside the Hospital Walls”

In oncology, the treatment of patients outside of hospitals has become imperative due to an increasing number of patients who are older and live longer, along with issues such as medical desertification, oncologist hyperspecialization, and difficulties in financing mounting health expenditures. Trea...

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Autores principales: Bertucci, François, Le Corroller-Soriano, Anne-Gaëlle, Monneur-Miramon, Audrey, Moulin, Jean-François, Fluzin, Sylvain, Maraninchi, Dominique, Gonçalves, Anthony
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406853/
https://www.ncbi.nlm.nih.gov/pubmed/30769858
http://dx.doi.org/10.3390/cancers11020219
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author Bertucci, François
Le Corroller-Soriano, Anne-Gaëlle
Monneur-Miramon, Audrey
Moulin, Jean-François
Fluzin, Sylvain
Maraninchi, Dominique
Gonçalves, Anthony
author_facet Bertucci, François
Le Corroller-Soriano, Anne-Gaëlle
Monneur-Miramon, Audrey
Moulin, Jean-François
Fluzin, Sylvain
Maraninchi, Dominique
Gonçalves, Anthony
author_sort Bertucci, François
collection PubMed
description In oncology, the treatment of patients outside of hospitals has become imperative due to an increasing number of patients who are older and live longer, along with issues such as medical desertification, oncologist hyperspecialization, and difficulties in financing mounting health expenditures. Treatments have become less “invasive”, with greater precision and efficiency. Patients can therefore receive most of their care outside of hospitals. The development of e-health can address these new imperatives. In this letter, we describe the different e-health tools and their potential clinical impacts in oncology, as already reported at every level of care, including education, prevention, diagnosis, treatment, and monitoring. A few randomized studies have yet demonstrated the clinical benefit. We also comment on issues and limits of “cancer outside the hospital walls” from the point of view of patients, health care professionals, health facilities, and public authorities. Care providers in hospitals and communities will have to adapt to these changes within well-coordinated networks in order to better meet patient expectations regarding increasing education and personalizing management. Ultimately, controlled studies should aim to definitively demonstrate areas of interest, benefits, and incentives, for not only patients, but also caregivers (formal and informal) and health care providers, health care facilities, and the nation.
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spelling pubmed-64068532019-03-21 Outpatient Cancer Care Delivery in the Context of E-Oncology: A French Perspective on “Cancer outside the Hospital Walls” Bertucci, François Le Corroller-Soriano, Anne-Gaëlle Monneur-Miramon, Audrey Moulin, Jean-François Fluzin, Sylvain Maraninchi, Dominique Gonçalves, Anthony Cancers (Basel) Letter In oncology, the treatment of patients outside of hospitals has become imperative due to an increasing number of patients who are older and live longer, along with issues such as medical desertification, oncologist hyperspecialization, and difficulties in financing mounting health expenditures. Treatments have become less “invasive”, with greater precision and efficiency. Patients can therefore receive most of their care outside of hospitals. The development of e-health can address these new imperatives. In this letter, we describe the different e-health tools and their potential clinical impacts in oncology, as already reported at every level of care, including education, prevention, diagnosis, treatment, and monitoring. A few randomized studies have yet demonstrated the clinical benefit. We also comment on issues and limits of “cancer outside the hospital walls” from the point of view of patients, health care professionals, health facilities, and public authorities. Care providers in hospitals and communities will have to adapt to these changes within well-coordinated networks in order to better meet patient expectations regarding increasing education and personalizing management. Ultimately, controlled studies should aim to definitively demonstrate areas of interest, benefits, and incentives, for not only patients, but also caregivers (formal and informal) and health care providers, health care facilities, and the nation. MDPI 2019-02-14 /pmc/articles/PMC6406853/ /pubmed/30769858 http://dx.doi.org/10.3390/cancers11020219 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Letter
Bertucci, François
Le Corroller-Soriano, Anne-Gaëlle
Monneur-Miramon, Audrey
Moulin, Jean-François
Fluzin, Sylvain
Maraninchi, Dominique
Gonçalves, Anthony
Outpatient Cancer Care Delivery in the Context of E-Oncology: A French Perspective on “Cancer outside the Hospital Walls”
title Outpatient Cancer Care Delivery in the Context of E-Oncology: A French Perspective on “Cancer outside the Hospital Walls”
title_full Outpatient Cancer Care Delivery in the Context of E-Oncology: A French Perspective on “Cancer outside the Hospital Walls”
title_fullStr Outpatient Cancer Care Delivery in the Context of E-Oncology: A French Perspective on “Cancer outside the Hospital Walls”
title_full_unstemmed Outpatient Cancer Care Delivery in the Context of E-Oncology: A French Perspective on “Cancer outside the Hospital Walls”
title_short Outpatient Cancer Care Delivery in the Context of E-Oncology: A French Perspective on “Cancer outside the Hospital Walls”
title_sort outpatient cancer care delivery in the context of e-oncology: a french perspective on “cancer outside the hospital walls”
topic Letter
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406853/
https://www.ncbi.nlm.nih.gov/pubmed/30769858
http://dx.doi.org/10.3390/cancers11020219
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