Bargoin Maxence, Rey Philippe, Maffre Nadia, Hudde Thierry, Sérange Eric, Chalard Nathalie, Guérin Bénédicte, Moluçon Chabrot Cécile, Collombet-Migeon Frédérique, Bay Jacques-Olivier, Bahadoor Mohun R K
Service de thérapie cellulaire et d'hématologie clinique Adulte, CHU ESTAING, 1, place Lucie-Aubrac, 63100 Clermont-Ferrand, France.
Union régional des professionnels de santé infirmiers libéraux d'Auvergne Rhône-Alpes, 21, quai Antoine-Riboud, 69002 Lyon, France.
Bull Cancer. 2021 Jul-Aug;108(7-8):686-695. doi: 10.1016/j.bulcan.2021.03.016. Epub 2021 May 25.
The complexity of the hospital-city care pathway is a real challenge because of the lack of coordination and communication between many stakeholders. As part of a call for projects from the General Directorate of Healthcare Provision, an experiment involving private oncology coordinating nurses was developed to address this issue. To our knowledge, there is no evaluation so far of such a protocol .
This single-center retrospective study focused on data from the ONC'IDEC program between 2015 and 2018, where 28 private nurses provided a 24/7 hotline. The objective was to qualitatively assess the coordination of this system. The nature and number of calls, patient satisfaction and medico-economic parameters were assessed.
More than a hundred patients (n=114) were included in this device (mean age: 72 ± 12 years). The most frequent reasons for calls concerned the patient's general condition (35 %) and home treatment follow-ups (13 %) but also referrals to the primary doctor (4 %), which helped avoiding hospitalizations. The patients were satisfied with the experiment (overall score of 8.4/10).
Thanks to the ONC'IDEC program, patients were able to benefit from more appropriate care through a privileged interlocutor by making their care pathway more fluid and avoiding hospitalizations. It would be interesting to confirm these results by means of a study with a higher level of evidence, by comparing this protocol to conventional hospital coordination.
由于众多利益相关者之间缺乏协调与沟通，医院-城市护理路径的复杂性成为一项切实的挑战。作为医疗保健提供总局项目征集的一部分，开展了一项涉及私立肿瘤协调护士的实验以解决这一问题。据我们所知，目前尚无对该方案的评估。
这项单中心回顾性研究聚焦于2015年至2018年期间ONC'IDEC项目的数据，其中28名私立护士提供了全天候热线服务。目的是对该系统的协调性进行定性评估。评估了电话的性质和数量、患者满意度以及医疗经济参数。
该装置纳入了一百多名患者（n = 114）（平均年龄：72 ± 12岁）。最常见的致电原因涉及患者的一般状况（35%）和家庭治疗随访（13%），还有转诊至初级医生（4%），这有助于避免住院。患者对该实验感到满意（总体评分为8.4/10）。
得益于ONC'IDEC项目，患者能够通过一位享有特权的对话者受益于更恰当的护理，使他们的护理路径更加顺畅并避免住院。通过一项证据水平更高的研究，将该方案与传统医院协调方式进行比较来证实这些结果将会很有意思。
