[What patients with cancer think about the dehospitalization. A survey of Cipomo.]. in Recenti progressi in medicina / Recenti Prog Med. 2024 May;115(5):232-237. doi: 10.1701/4262.42402.

2024
ASL Cuneo 2

Tipo pubblicazione

Journal Article

Autori/Collaboratori (12)Vedi tutti...

Barni S
Primario Emerito di Oncologia medica, Asst BG Ovest, Ospedale di Treviglio (Bergamo).
Aschele C
Dipartimento di Oncologia medica, Ospedale Sant'Andrea, La Spezia.
Blasi L
UO Oncologia medica (Arnas), Civico Benfratelli, Palermo.

et alii...

Abstract

BACKGROUND: Ministerial Decrete 77 (DM 77) promotes dehospitalization for chronic patients and defines out-of-hospital health facilities at this purpose. It has never been investigated how much patients with cancer know and judge this decree law. MATERIAL AND METHODS: The Collegio italiano dei primari oncologi medici ospedalieri (Cipomo) carried out a survey with a dedicated questionnaire on oncological patients attending public hospital to investigate the liking of DM 77. RESULTS: Anonymous responses were obtained from 1.443 patients. Median age 64ys, 42% males, 21% live alone, 70% have a companion. 19% thinks that oral chemotherapy could be managed outside the hospital, 26.68% carried out follow-up (FU),19.15% parenteral therapy, 32.16% basic examinations. Home is preferred by 21.8%, a health facility close to home by 36.3%, hospital by 37.54%. 59.67% would like FU in hospital by their personal oncologist, 5.47% by GP, 35.41% by both together and 9.45% by oncologist outside the hospital. Asked what they might feel about being followed out of the hospital, 29.94% say of not being treated at its best, 12.68% of not being able to be visited in hospital anymore, 5.27% of being abandoned, 30.7% of being freer and 10.88% of feeling less sick. Regarding the use of new technical tools to favor dehospitalisation, 44.15% answered yes, 15.88% no and 30.07% did not know. About the distance or traveling time from home to the therapy administration side, 20.26% answered this should be no more than 15 km or 30 mins, 9.91% no more than 30 km or 45 mins, 5.47% no more than 50 km or 60 mins but 39.5% say that the distance does not matter to them but only the continuity of care. The question related to the inconveniences with going to hospital for therapy: 40.81% waiting time, 20.47% lack of parking, 17.02% rotation of doctors,12.76% travel time and 5.62% bureaucracy. CONCLUSIONS: The patients' answers suggest that dehospitalization could improve their quality of life, but at the condition of being able to maintain a close relationship with the personal oncologist.

Accesso banca dati bibliografica

PMID : 38708534

DOI : 10.1701/4262.42402

Keywords

Humans; Italy; Neoplasms/drug therapy/therapy; Surveys and Questionnaires; Male; Middle Aged; Female; Aged; Adult; Aged, 80 and over; Hospitals, Public; Hospitalization/statistics & numerical data;