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• W4255722975 abstract "Implementing a Danish model, Norway introduced 28 standardized diagnostic pathways (SDPs) in 2015 for patients suspected to have a malignancy. Authors evaluate the development of main indicators of SPDs and present the effectiveness of identifying a cancer patient by using SPDs in a secondary health care environment. The Northern-Norway Regional Health Authority Trust established a database collecting relevant information from electronic patient journals in all hospitals of the region according to SPDs (procedures, time stamps, medical decisions). All data recorded in the database has been anonymized. Data for patients who entered the secondary healthcare in 2015 and in 2016 were selected and analyzed. SAS software tools (Enterprise Guide 7.1, Visual Analytics 7.3) and MS Excel 2013 were used for data processing, analyses and visualization. A total number of 10232 (100%) diagnostic cancer pathway cases were initiated in 2015 and in 2016. 78,38% of all identified cancer cases in 2015 and 2016 (5781) were diagnosed by pathway activities. 68,94% of all fulfilled pathways (9781, 95,6%) were completed within national standard time intervals. Drop-out rate was 2,77%, in 50,85% cases the suspect of cancer was not confirmed, and 46,38% were identified as proven cancer patients. Effectiveness of pathways were estimated by the ratio of confirmed/unconfirmed cases in all pathways. This ratio varies from 9% (SDP-sarcomas, N=33) til 95% (cancer of the uterus N=122). Introduction of special and prioritized SPDs provide a good tool for monitoring and improving the quality of diagnostic processes. Two years after introduction of SPDs – not surprisingly – there is still wide range of variations in effectiveness. The evaluation of process indicators (pathways completed within national standard time; hit score) can be used to identify bottlenecks, identify variations in processes in order to increase effectiveness, subsequently avoiding unnecessary activities, risks and costs." @default.
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• W4255722975 date "2017-10-01" @default.
• W4255722975 modified "2023-09-26" @default.
• W4255722975 title "Effectiveness Of Identifying A Cancer Patient In The Hospital Sector In Northern-Norway - Analyses Based On Updated Regional Performance Database" @default.
• W4255722975 doi "https://doi.org/10.1016/j.jval.2017.08.658" @default.
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