Swart Rachelle R, Boersma Liesbeth J, Fijten Rianne, Cremers Paul, Ho Fiona, Jacobs Maria J G
Department of Radiation Oncology (Maastro), GROW School for Oncology and Reproduction, Maastricht University Medical Centre+, Dr. Tanslaan 12, Maastricht, 6229 ET, The Netherlands.
Tilburg School of Economics and Management, Tilburg University, Tilburg, The Netherlands.
BMC Health Serv Res. 2025 Jul 27;25(1):981. doi: 10.1186/s12913-025-13152-3.
BACKGROUND/AIM: Centres of Excellence (CoEs) are assumed to indicate centres that are leading in healthcare, research, and innovation. However, there is no consensus on the criteria or frameworks for defining CoEs. This review aims to identify which criteria have been mentioned in literature for CoEs in oncology, and what the evidence is for these criteria. METHODS: A scoping review was conducted in PubMed, Web of Science, and EMBASE, following PRISMA guidelines. Data extraction categorised findings into four pillars: medical care, organisation/management, research, and education. RESULTS: A total of 5717 records were retrieved, of which 20 papers were included in the review. CoE features in Medical care included: multidisciplinary team participation (10/20), specialised treatments (8/20), ICT interoperability (6/20), innovation (5/20), patient-centred care (5/20), and state-of-the-art equipment (3/20). For Organisation/Management notable features were strong HR policies for career development (4/20), high-performance teams (4/20), and frameworks promoting excellence (3/20). For Research we found: focused on international collaboration (5/20), clinical trials (4/20), and high-quality translational research (3/20). Education included residency and fellowship programs (7/20), comprehensive training programs (5/20), and continuous education (3/20). These findings emphasise the comprehensive approach necessary for achieving excellence in oncology care, although no papers were found where these criteria were correlated with outcome. CONCLUSION: We found that most studies mentioned integrated care, and specific characteristics of organisation & operational management, research, and education when defining CoE in oncology, but these criteria have not been validated with outcome.
背景/目的:卓越中心(CoEs)被认为是医疗、研究和创新领域的领先中心。然而,对于定义卓越中心的标准或框架尚无共识。本综述旨在确定肿瘤学领域卓越中心的文献中提到了哪些标准,以及这些标准的证据是什么。 方法:按照PRISMA指南,在PubMed、科学网和EMBASE中进行了范围综述。数据提取将结果分为四个支柱:医疗护理、组织/管理、研究和教育。 结果:共检索到5717条记录,其中20篇论文纳入综述。医疗护理方面的卓越中心特征包括:多学科团队参与(10/20)、专科治疗(8/20)、信息通信技术互操作性(6/20)、创新(5/20)、以患者为中心的护理(5/20)和先进设备(3/20)。组织/管理方面的显著特征是强有力的职业发展人力资源政策(4/20)、高效团队(4/20)和促进卓越的框架(3/20)。研究方面我们发现:专注于国际合作(5/20)、临床试验(4/20)和高质量转化研究(3/20)。教育方面包括住院医师和研究员培训项目(7/20)、综合培训项目(5/20)和继续教育(3/20)。这些发现强调了在肿瘤护理中实现卓越所需的综合方法,尽管未发现有论文将这些标准与结果相关联。 结论:我们发现大多数研究在定义肿瘤学卓越中心时提到了综合护理以及组织与运营管理、研究和教育的具体特征,但这些标准尚未通过结果验证。
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