Dancoisne Clémence, Scotté Florian, Capodano Géraldine, Carbonnelle Guillaume, Caunes-Hilary Nathalie, Chaustier Hélène, Chvetzoff Gisèle, Dolivet Valérie, Fogliarini Anne, Henry Aline, Jubier-Hamon Sabrina, Le Royer Astrid, Lecornu Héloïse, Morin Sophie, Nifosi Gianfilippo, Raeth Laure, Rigal Olivier, Triolaire Valérie, Vansteene Damien, Villate Christine, Bouleuc Carole, Boucher Sandrine
Unicancer Group, Paris, France.
Institut Gustave Roussy, Paris, France.
Support Care Cancer. 2025 May 31;33(6):520. doi: 10.1007/s00520-025-09579-3.
Supportive care (SC) is an inherent part of cancer patient care in French Comprehensive Cancer Centers (CCCs). However, even within the CCC network, little is known about available care for patients and the associated funding mechanisms. This study presents an overview of the supportive care offered by the CCCs in 2023.
Unicancer is a national federation of 20 French CCCs, private, nonprofit healthcare establishments specialized in oncology. This survey was carried out at a national level in 2023. Each CCC completed a structured questionnaire.
The support care services considered essential to the patient's care pathway by the National Cancer Institute are available to patients undergoing treatment in all CCCs. However, there are disparities, both in terms of access for post-treatment patients and their caregivers and in terms of access to a wider range of supportive care services. The level of structure and methods for coordinating supportive care within institutions vary among CCCs, as do the profile and number of healthcare professionals involved. Funding for supportive care, which also varies between establishments, is based on limited national and regional public funding, social security reimbursement, and sometimes on donations and legacies.
Supportive care is an essential component of the overall management of cancer patients in CCCs. However, its development varies from one hospital to another. There are many organizational and financial challenges to overcome in order to best meet the needs of all the patients being cared for. This survey may shed light on future developments in the organization and funding of supportive care in France and other countries.
在法国综合癌症中心（CCC），支持性护理（SC）是癌症患者护理的固有组成部分。然而，即使在CCC网络内，对于患者可获得的护理及其相关资金机制也知之甚少。本研究概述了2023年CCC提供的支持性护理。
Unicancer是一个由20家法国CCC组成的全国性联合会，这些机构是专门从事肿瘤学的私立非营利性医疗机构。这项调查于2023年在全国范围内开展。每个CCC都填写了一份结构化问卷。
国家癌症研究所认为对患者护理路径至关重要的支持性护理服务，在所有CCC接受治疗的患者均可获得。然而，在治疗后患者及其护理人员的获取机会方面，以及在获得更广泛的支持性护理服务方面，存在差异。各CCC在机构内协调支持性护理的结构和方法水平各不相同，所涉及的医疗专业人员的概况和数量也有所不同。支持性护理的资金在不同机构之间也有所不同，其资金来源基于有限的国家和地区公共资金、社会保障报销，有时还包括捐赠和遗产。
支持性护理是CCC癌症患者整体管理的重要组成部分。然而，其发展在不同医院之间存在差异。为了最好地满足所有接受护理患者的需求，有许多组织和财务方面的挑战需要克服。这项调查可能会为法国和其他国家支持性护理的组织和资金未来发展提供启示。
