Service cancer
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Summary
10 papers analyzed
These studies suggest that cancer care services are influenced by factors such as overuse, socio-demographic disparities, patient experience, geographic performance, user involvement, volunteer support, acute oncology services, and integration of psychosocial care.
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Service Utilization in Cancer Care: A Comprehensive Overview
Overuse of Health Care Services in Cancer Management
Overuse of health care services in cancer management is a significant concern, as it can lead to suboptimal patient care and increased costs. A systematic review identified 59 articles measuring overuse of 154 services related to imaging, procedures, and therapeutics in cancer management. The majority of these studies focused on adult or geriatric patients in the US, with diagnostic imaging in low-risk prostate and breast cancer being the most studied services. Despite the attention to overuse, evidence remains limited, and broader investigation is needed to identify improvement targets to optimize value in cancer care.
Health Service Utilization by Cancer Survivors
The patterns and determinants of health service utilization by adult cancer survivors reveal disparities based on age, ethnicity, and socio-demographic status. Younger, white cancer survivors are more likely to receive follow-up screening, preventive care, and professional mental health services, while utilization rates of other health professionals, such as physiotherapists, are low. Studies indicate that follow-up care is lower than expected, and barriers exist for particular groups of cancer survivors. The Andersen Behavioural Model has been effective in studying and understanding these patterns, highlighting the need for improved access to care and personalized care plans.
Inequity in Palliative Care Service Utilization
Inequities in palliative care service utilization among advanced cancer patients are influenced by socio-demographic, clinical, and organizational factors. Older patients, those of Caucasian ethnicity, with solid tumors, and longer survival times are more likely to be enrolled in palliative care services. Conversely, patients living farther from specialized facilities and in urban areas are less likely to receive such care. These findings underscore the presence of inequity in access to palliative care, necessitating efforts to address these disparities.
Cancer Patient Service Experience and Satisfaction
Cancer patient service experience significantly impacts customer satisfaction. A study using confirmatory factor analysis identified five dimensions of service experience: service environment, emotive experience, behavioral experience, comfort experience, and social experience. These factors collectively influence patient satisfaction, emphasizing the importance of a holistic approach to service delivery in cancer care.
Automated Delineation of Cancer Service Areas
Automated delineation of cancer service areas (CSAs) using network optimization approaches has shown improved performance in geographic measures compared to traditional hospital-based service areas. This methodology, applied to Medicare claims data, resulted in more localized, modular, and compact CSAs, enhancing the evaluation of healthcare variation and potentially improving service delivery.
Role of Volunteer Services in Cancer Care
Volunteer services play a crucial role in providing supportive care to cancer patients and their families. These services include companionship, information, respite care, and complementary therapies such as Reiki and animal-assisted therapy. Research indicates that volunteer services can reduce symptoms and enhance survival, highlighting their value in comprehensive cancer care.
Integrating Psychosocial Care into Cancer Services
Despite the prevalence of psychosocial problems among cancer patients, many do not receive adequate care. Integrating psychosocial care into cancer services involves addressing emotional, social, palliative, and logistical issues throughout the patient's care journey. The collaborative care service model, which includes systematic identification of needs, integrated delivery of care, specialist supervision, and outcome-based care stepping, has proven effective in managing depression and other psychosocial needs in cancer patients.
Conclusion
The research highlights critical areas in cancer service utilization, including overuse, disparities in service access, the importance of patient experience, and the integration of psychosocial care. Addressing these issues through targeted interventions and comprehensive care models can significantly improve the quality and efficiency of cancer care services.
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