Department of Pediatrics Oncology and Hematology, Indraprastha Apollo Hospital, Delhi, India.
Department of Pediatric Oncology, Max Super Specialty Hospital, Saket, Delhi, India.
Cancer Rep (Hoboken). 2022 Jun;5(6):e1486. doi: 10.1002/cnr2.1486. Epub 2021 Jun 27.
The COVID pandemic posed a challenge for the tertiary centers to continue treatment. Some tertiary centers were designated as COVID-only hospitals, making it difficult for existing childhood cancer patients to continue their treatment at those centres. The need for shared care in childhood cancer was perceived by Cankids and its partnering childhood cancer-treating centers in North and East India.
We aim to show how Cankids upscaled its shared care model to ensure that COVID designated hospitals connected with other hospitals who have to continue to provide care to childhood cancer patients in the pandemic and thus ensured the continuation of treatment for these patients.
The need assessment of the beneficiaries was done in discussion with the hospital of origin and destination hospital. The need for shared care was also discussed with the families and consent was taken before shifting their children. Cankids with the help of advisors identified cases of high risk that need immediate attention, proactive regular monitoring, and help in care planning with the perspective and recommendation of the multiple providers. The shared care unit came forward with reasonable and discounted packages for treatment. There was a total of five hospitals requiring shared care, and 55 children were supported from April to November 2020. The median age was 8 years and their hospital of origin are in Bihar, Uttar Pradesh, West Bengal, and Delhi. The expenditure on the treatment of the 55 patients was INR 61 61 636 ($ 84 843), with a median of INR 41765 (IQR 19491-174 129) on each patient. Total 291 trips for the transport were arranged and all the patients combined stayed 174 days at Cankids accommodation facility.
The shared care helped the patients access standard treatment and reduce the financial burden.
新冠疫情给三级中心继续治疗带来了挑战。一些三级中心被指定为新冠专用医院，使得现有儿童癌症患者难以在这些中心继续接受治疗。北印度和东印度的 Cankids 及其合作的儿童癌症治疗中心认识到儿童癌症需要共享护理。
我们旨在展示 Cankids 如何扩大其共享护理模式，以确保被指定为新冠的医院与其他必须继续为疫情期间的儿童癌症患者提供护理的医院建立联系，从而确保这些患者的治疗得以继续。
与原籍医院和目的地医院进行讨论，对受益人的需求进行了评估。与家长讨论了共享护理的需求，并在转移孩子之前获得了他们的同意。Cankids 在顾问的帮助下，确定了需要立即关注的高危病例，主动进行定期监测，并帮助制定护理计划，同时考虑并提出了多个提供者的观点和建议。共享护理单位提出了合理且有折扣的治疗套餐。共有五家医院需要共享护理，2020 年 4 月至 11 月期间共支持了 55 名儿童。中位年龄为 8 岁，原籍医院位于比哈尔邦、北方邦、西孟加拉邦和德里。55 名患者的治疗支出为 6161636 印度卢比（84843 美元），每位患者的中位数为 41765 印度卢比（IQR 19491-174129）。总共安排了 291 次交通接送，所有患者在 Cankids 的住宿设施共停留了 174 天。
共享护理帮助患者获得标准治疗并减轻了经济负担。
