Coordination is a priority in oncology

This is also one of the most important results of the first International Oncology Round Table held in November last year. will continue discussions on May 11. Philips is a partner of the event. As part of a two-day meeting of oncologists International Oncology Round Table Recommendations have been developed to increase the effectiveness of cancer treatment in Poland.

Implementation of KSO and creation of new divisions

As emphasized by the roundtable participant prof. Adam Maciejczyk, director of the Lower Silesian Oncology Center in WroclawThe most important goal of its participants is the implementation of the National Oncology Network, which has an important task providing universal access to comprehensive oncology care.

For this purpose, it will be necessary to launch new units.

– The main axis of KSO is the unification of standards of oncological diagnosis and treatment and the implementation of a quality control system for these activities. The implementation of the KSO should be complementary to the launch of subsequent body units, and these activities should be carried out simultaneously and consistently, he said. He added that oncology departments for breast and bowel cancer, and future lung cancer, as well as gynecological and urological cancers, are units that provide the highest possible access to comprehensive oncology services. The latest standards of oncology management should also be tested there.

Prophylactic and screening tests

In addition to the implementation of KSO and the commissioning of new facilities, this is another condition for the proper functioning of the system. Properly performed preventive and screening tests.

– Without these measures, we will not be able to effectively combat the increase in the number of cancer patients – prof. Maciejczyk.

These are the other priorities mentioned at the meeting Improving the quality of diagnostics, application of new IT solutions, creation of oncology information registers. These tasks are a key element of KSO and will be implemented after its implementation.

Prof. Maciejczyk stressed that in the process of system reform, it is important to focus all activities on the consistent implementation of ready-to-implement schemes already developed in pilot mode. Such activities offer the greatest chance to improve access to high-quality cancer treatment.

Standardization of diagnostics

Prof. Adam Maciejczyk, One of the first tasks in the implementation of KSO is the standardization of oncological diagnosis and treatment, with a special focus on histopathological diagnosis.

“It is extremely important to start working across the country to consolidate standards for the description of histopathological examinations and to apply uniform templates,” he said. He adds that the experience of the KSO pilot project shows that each standard of the diagnostic test description or the therapy sequence used requires that the process be unambiguously included in the time frame and therefore linked to the diagnostic and therapeutic approach. a specific type of cancer.

– Such basic work, which is carried out reliably at the initial stage of the network, will undoubtedly give more noticeable results in the form of effective organization of data collection. The establishment of KSO requires close cooperation with oncologists, as well as close cooperation with the Ministry of Health, the best example of which is the definition of the principles of participation in the establishment of the e-Health Center network and the National Medical Fund. We are all waiting for an amended version of the act, which should be published together with the proposed provisions of relevant regulations, he said.

Oncology care standards

Prof. Maciejczyk notes The application of the standard in oncology care is the main task of every oncologist. However, good practices are important, preferably in the form of gradually updated guidelines. Based on them, it is necessary to consistently develop procedural algorithms with the necessary elements of process dimensions and indicators.

– As part of the KSO pilot, based on existing guidelines, we have developed simplified diagnostic and treatment options for five types of cancer – breast, lung, colon, prostate and ovarian cancer. We have also developed a system for collecting and analyzing clinical data, which not only reflects the value of individual measures, but also allows us to track the participation of other organizational problems, such as the payment of individual GP practices in preventive examinations.

Creating a system to monitor the quality and effectiveness of oncology care is not a simple task, but thanks to several years of experience, we have mastered the whole process, says the expert. He adds that the best proof that this is possible is the effective implementation of the difficult iPACC certification process at the Lower Silesian Oncology Center in Wroclaw. This is the first such difficult organizational challenge in Poland.

Quality and availability control of services

One of the foundations of the effective operation of the National Cancer Network is the constantly evolving process of standardization and modification of patient pathways. Prof. Maciejczyk notes that the most important value will be the ability to constantly monitor the availability and quality of oncology services, which in turn will allow continuous monitoring of activities and improvement of results. He notes that Establishment of a system for monitoring the quality of cancer care involves additional costs.

– However, if everyone is constantly demanding new therapies, new technologies, new types of services, then it is necessary to create an opportunity to realistically assess these needs and, in my opinion, to control the volume of their use, which is especially important. the real effectiveness of their activities – he notes.

– Recently, the effectiveness of fundraising to combat the COVID-19 pandemic shocked us all. At the same time, for a small part of this amount, it is possible to create a very effective system of oncology quality monitoring in Poland, implement it and provide patients with access to oncology services after combining clinical effects with funding, which will reward one person financially. effective therapy – he adds.

He emphasizes that the implementation of KSO in accordance with the assumptions made by oncologists will not allow constant monitoring of the quality and effectiveness of services provided, but will give additional results – increase access to innovative therapies and analysis. their effectiveness using reports based on real, constantly collected clinical data.

This is extremely important for the full optimal functioning of the CDF application of new IT solutions in the treatment of oncology patients. As Philips is one of the world’s largest suppliers of medical equipment, as well as various solutions for health care, including IT, it is constantly involved in the following projects, among others: with oncology.

Michał Kępowicz, Director of Strategic Relations and Market Access at Philips Healthcare and a participant in the International Oncology Roundtable, talks about the importance of new medical technologies in this area.

– Cancer patients often go to many departments, sometimes even to many hospitals for treatment. As a result, patient data is collected in multiple systems across medical facilities, and clinicians do not always have the complete information package needed to make important clinical decisions. Therefore, it is very important to use related, interactive IT systems that will ensure the optimal level of treatment and thus increase the sense of safety of cancer patients. The application of such systems means rapid access to comprehensive information and the possibility of exchange of views between experts, regardless of the place and time of their application. It is also an opportunity to access reports on existing diagnostic methods and treatments, and thus to reliably test the effectiveness of the measures taken and, based on this, to make useful changes in the patient’s subsequent management process. Digitization of diagnosis and therapy processes is one of the foundations for more consistent and integrated care for cancer patients. This is also the increasing efficiency of the health care system, where we have a complete medical history of the patient, which prevents the recurrence of unnecessary tests and procedures – explains the Philips expert.

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