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The 2015 National Cancer Program in Sweden : Introducing standardized care pathways in a decentralized system

Wilkens, Jens LU ; Thulesius, Hans LU ; Schmidt, Ingrid and Carlsson, Christina LU (2016) In Health Policy 120(12). p.1378-1382
Abstract

Starting in 2015, the Swedish government has initiated a national reform to standardize cancer patient pathways and thereby eventually speed up treatment of cancer. Cancer care in Sweden is characterized by high survival rates and a generally high quality albeit long waiting times. The objective with the new national program to standardize cancer care pathways is to reduce these waiting times, increase patient satisfaction with cancer care and reduce regional inequalities. A new time-point for measuring the start of a care process is introduced called well-founded suspicion, which is individually designed for each cancer diagnosis. While medical guidelines are well established earlier, the standardisation is achieved by defining time... (More)

Starting in 2015, the Swedish government has initiated a national reform to standardize cancer patient pathways and thereby eventually speed up treatment of cancer. Cancer care in Sweden is characterized by high survival rates and a generally high quality albeit long waiting times. The objective with the new national program to standardize cancer care pathways is to reduce these waiting times, increase patient satisfaction with cancer care and reduce regional inequalities. A new time-point for measuring the start of a care process is introduced called well-founded suspicion, which is individually designed for each cancer diagnosis. While medical guidelines are well established earlier, the standardisation is achieved by defining time boundaries for each step in the process. The cancer reform program is a collaborative effort initiated and incentivized by the central government while multi-professional groups develop the time-bound standardized care pathways, which the regional authorities are responsible for implementing. The broad stakeholder engagement and time-bound guidelines are interesting approaches to study for other countries that need to streamline care processes.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Benchmarking, Clinical pathways, Continuity of patient care, Government programs, Health care reform, Standardized, Sweden, Waiting list
in
Health Policy
volume
120
issue
12
pages
5 pages
publisher
Elsevier
external identifiers
  • scopus:85000879114
  • wos:000390638100004
ISSN
0168-8510
DOI
10.1016/j.healthpol.2016.09.008
language
English
LU publication?
yes
id
c44784f6-4dea-4029-89c8-4c4f4a0a968d
date added to LUP
2016-12-28 09:42:50
date last changed
2017-09-18 11:33:30
@article{c44784f6-4dea-4029-89c8-4c4f4a0a968d,
  abstract     = {<p>Starting in 2015, the Swedish government has initiated a national reform to standardize cancer patient pathways and thereby eventually speed up treatment of cancer. Cancer care in Sweden is characterized by high survival rates and a generally high quality albeit long waiting times. The objective with the new national program to standardize cancer care pathways is to reduce these waiting times, increase patient satisfaction with cancer care and reduce regional inequalities. A new time-point for measuring the start of a care process is introduced called well-founded suspicion, which is individually designed for each cancer diagnosis. While medical guidelines are well established earlier, the standardisation is achieved by defining time boundaries for each step in the process. The cancer reform program is a collaborative effort initiated and incentivized by the central government while multi-professional groups develop the time-bound standardized care pathways, which the regional authorities are responsible for implementing. The broad stakeholder engagement and time-bound guidelines are interesting approaches to study for other countries that need to streamline care processes.</p>},
  author       = {Wilkens, Jens and Thulesius, Hans and Schmidt, Ingrid and Carlsson, Christina},
  issn         = {0168-8510},
  keyword      = {Benchmarking,Clinical pathways,Continuity of patient care,Government programs,Health care reform,Standardized,Sweden,Waiting list},
  language     = {eng},
  month        = {12},
  number       = {12},
  pages        = {1378--1382},
  publisher    = {Elsevier},
  series       = {Health Policy},
  title        = {The 2015 National Cancer Program in Sweden : Introducing standardized care pathways in a decentralized system},
  url          = {http://dx.doi.org/10.1016/j.healthpol.2016.09.008},
  volume       = {120},
  year         = {2016},
}