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Assessing Recent Efforts to Improve Organization of Cancer Care in Poland: What Does the Evidence Tell Us?

Poland has implemented two major organizational changes in recent years to improve cancer care. In 2015, a dedicated ‘fast pathway’ to diagnostics and treatment was implemented for patients suspected of having cancer. In 2019, the National Oncology Network began pilots in four regions of care pathwa...

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Autores principales: Sagan, Anna, Kowalska-Bobko, Iwona, Gałązka-Sobotka, Małgorzata, Holecki, Tomasz, Maciejczyk, Adam, McKee, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9368127/
https://www.ncbi.nlm.nih.gov/pubmed/35954721
http://dx.doi.org/10.3390/ijerph19159369
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author Sagan, Anna
Kowalska-Bobko, Iwona
Gałązka-Sobotka, Małgorzata
Holecki, Tomasz
Maciejczyk, Adam
McKee, Martin
author_facet Sagan, Anna
Kowalska-Bobko, Iwona
Gałązka-Sobotka, Małgorzata
Holecki, Tomasz
Maciejczyk, Adam
McKee, Martin
author_sort Sagan, Anna
collection PubMed
description Poland has implemented two major organizational changes in recent years to improve cancer care. In 2015, a dedicated ‘fast pathway’ to diagnostics and treatment was implemented for patients suspected of having cancer. In 2019, the National Oncology Network began pilots in four regions of care pathways for cancer at five sites. Neither has been evaluated—no baseline information was collected, and what assessments were undertaken were limited to process measures. While the 2019 initiative was at least piloted, a national rollout has been announced even while the pilot is still ongoing and when concerns about certain aspects of the model have been raised. Given that cancer is the second largest cause of death in Poland and that cancer outcomes are worse compared to Western European averages, there is a particular need to ensure that models of care are informed by the evidence and adapted to the realities of the Polish healthcare system.
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spelling pubmed-93681272022-08-12 Assessing Recent Efforts to Improve Organization of Cancer Care in Poland: What Does the Evidence Tell Us? Sagan, Anna Kowalska-Bobko, Iwona Gałązka-Sobotka, Małgorzata Holecki, Tomasz Maciejczyk, Adam McKee, Martin Int J Environ Res Public Health Perspective Poland has implemented two major organizational changes in recent years to improve cancer care. In 2015, a dedicated ‘fast pathway’ to diagnostics and treatment was implemented for patients suspected of having cancer. In 2019, the National Oncology Network began pilots in four regions of care pathways for cancer at five sites. Neither has been evaluated—no baseline information was collected, and what assessments were undertaken were limited to process measures. While the 2019 initiative was at least piloted, a national rollout has been announced even while the pilot is still ongoing and when concerns about certain aspects of the model have been raised. Given that cancer is the second largest cause of death in Poland and that cancer outcomes are worse compared to Western European averages, there is a particular need to ensure that models of care are informed by the evidence and adapted to the realities of the Polish healthcare system. MDPI 2022-07-30 /pmc/articles/PMC9368127/ /pubmed/35954721 http://dx.doi.org/10.3390/ijerph19159369 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Perspective
Sagan, Anna
Kowalska-Bobko, Iwona
Gałązka-Sobotka, Małgorzata
Holecki, Tomasz
Maciejczyk, Adam
McKee, Martin
Assessing Recent Efforts to Improve Organization of Cancer Care in Poland: What Does the Evidence Tell Us?
title Assessing Recent Efforts to Improve Organization of Cancer Care in Poland: What Does the Evidence Tell Us?
title_full Assessing Recent Efforts to Improve Organization of Cancer Care in Poland: What Does the Evidence Tell Us?
title_fullStr Assessing Recent Efforts to Improve Organization of Cancer Care in Poland: What Does the Evidence Tell Us?
title_full_unstemmed Assessing Recent Efforts to Improve Organization of Cancer Care in Poland: What Does the Evidence Tell Us?
title_short Assessing Recent Efforts to Improve Organization of Cancer Care in Poland: What Does the Evidence Tell Us?
title_sort assessing recent efforts to improve organization of cancer care in poland: what does the evidence tell us?
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9368127/
https://www.ncbi.nlm.nih.gov/pubmed/35954721
http://dx.doi.org/10.3390/ijerph19159369
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