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The national program on standardized cancer care pathways in Sweden : Observations and findings half way through

Schmidt, Ingrid; Thor, Johan; Davidson, Thomas; Nilsson, Fredrik LU and Carlsson, Christina LU (2018) In Health Policy 122(9). p.945-948
Abstract

In 2015, the Swedish government initiated a national cancer reform program to standardize cancer care pathways. Primary aims included shortened waiting times among patients with suspected cancer, increased patient satisfaction and reduced regional variation. The implementation phase of the program is now more than half way through and both achievements and challenges have been identified. The ongoing evaluation demonstrates that professional engagement and adjustments on the meso- and micro-level of the system are essential to achieving sustainable improvements. Waiting times have shortened for the pathways launched first, and patients are satisfied with a more transparent process. Physicians in primary care are satisfied to inform... (More)

In 2015, the Swedish government initiated a national cancer reform program to standardize cancer care pathways. Primary aims included shortened waiting times among patients with suspected cancer, increased patient satisfaction and reduced regional variation. The implementation phase of the program is now more than half way through and both achievements and challenges have been identified. The ongoing evaluation demonstrates that professional engagement and adjustments on the meso- and micro-level of the system are essential to achieving sustainable improvements. Waiting times have shortened for the pathways launched first, and patients are satisfied with a more transparent process. Physicians in primary care are satisfied to inform patients about the pathways but point out problems with comorbidity and complicated diagnostic procedures related to unspecific symptoms. Mechanisms and ethical considerations behind possible crowding-out effects need to be thoroughly highlighted and discussed with staff and management. The results so far appear promising but meso- and micro-levels of the system need to be more involved in the design processes.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cancer care, Microsystem perspective, Primary health care, Standardized pathways
in
Health Policy
volume
122
issue
9
pages
4 pages
publisher
Elsevier
external identifiers
  • scopus:85050683269
ISSN
0168-8510
DOI
10.1016/j.healthpol.2018.07.012
language
English
LU publication?
yes
id
11aa8383-cd56-43c5-875d-ebd5512ab127
date added to LUP
2018-10-01 10:00:13
date last changed
2019-02-20 11:28:26
@article{11aa8383-cd56-43c5-875d-ebd5512ab127,
  abstract     = {<p>In 2015, the Swedish government initiated a national cancer reform program to standardize cancer care pathways. Primary aims included shortened waiting times among patients with suspected cancer, increased patient satisfaction and reduced regional variation. The implementation phase of the program is now more than half way through and both achievements and challenges have been identified. The ongoing evaluation demonstrates that professional engagement and adjustments on the meso- and micro-level of the system are essential to achieving sustainable improvements. Waiting times have shortened for the pathways launched first, and patients are satisfied with a more transparent process. Physicians in primary care are satisfied to inform patients about the pathways but point out problems with comorbidity and complicated diagnostic procedures related to unspecific symptoms. Mechanisms and ethical considerations behind possible crowding-out effects need to be thoroughly highlighted and discussed with staff and management. The results so far appear promising but meso- and micro-levels of the system need to be more involved in the design processes.</p>},
  author       = {Schmidt, Ingrid and Thor, Johan and Davidson, Thomas and Nilsson, Fredrik and Carlsson, Christina},
  issn         = {0168-8510},
  keyword      = {Cancer care,Microsystem perspective,Primary health care,Standardized pathways},
  language     = {eng},
  month        = {09},
  number       = {9},
  pages        = {945--948},
  publisher    = {Elsevier},
  series       = {Health Policy},
  title        = {The national program on standardized cancer care pathways in Sweden : Observations and findings half way through},
  url          = {http://dx.doi.org/10.1016/j.healthpol.2018.07.012},
  volume       = {122},
  year         = {2018},
}