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- W3208297849 abstract "Background: Over the past decades, volume norms for pancreatic surgery were applied in the Netherlands. As a result of this centralization, pancreatic tumor care has become multi-institutional. To illustrate, patients are referred to a center of expertise for pancreatic surgery whereas other parts of pancreatic care, such as chemotherapy, take place in local hospitals. This fragmentation of health care services could affect continuity of care (COC). The aim of this study was to assess COC perceived by patients in a pancreatic care network and investigate correlations with patient-and care-related characteristics. Methods: This is a pilot study in which patients with (pre)malignant pancreatic tumors discussed in a multidisciplinary tumor board in a Dutch tertiary hospital were asked to fill out the Nijmegen Continuity of Care-questionnaire (NCQ) (5-point Likert scale). Patient-and care-related data were retrieved from medical records. Correlations of NCQ score and patient-and care-related characteristics were calculated with Spearman’s correlation coefficient. Results: In total, 44 patients were included (92% response rate). Pancreatic cancer was the predominant diagnosis (32%). Forty percent received a repetition of diagnostic investigations in the tertiary hospital. Mean scores for personal continuity were 3.55±0.74 for GP, 3.29±0.91 for the specialist and 3.43±0.65 for collaboration between GPs and specialists. Overall COC was scored with a mean 3.38±0.72. No significant correlations were observed between NCQ score and certain patient-or care-related characteristics. Conclusion: Continuity of care perceived by patients with pancreatic tumors was scored as moderate. This outcome supports the need to improve continuity of care within multi-institutional pancreatic care networks. Keywords: Pancreatic tumor, Pancreatic surgery, Continuity of care, Quality of care, Centralization, Oncology networks" @default.
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- W3208297849 date "2021-01-01" @default.
- W3208297849 modified "2023-09-26" @default.
- W3208297849 title "Continuity of Care Experienced by Patients in a Multi-institutional Pancreatic Care Network: A Pilot Study" @default.
- W3208297849 doi "https://doi.org/10.1016/j.hpb.2021.08.657" @default.
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