Publication

The impact of centralization of services on treatment delay in ovarian cancer: A study on process quality

Eggink, F. A., Vermue, M. C., Van der Spek, C., Arts, H. J., Apperloo, M. J., Nijman, H. W. & Niemeijer, G. C., 1-Oct-2017, In : International Journal for Quality in Health Care. 29, 6, p. 810-816 7 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Eggink, F. A., Vermue, M. C., Van der Spek, C., Arts, H. J., Apperloo, M. J., Nijman, H. W., & Niemeijer, G. C. (2017). The impact of centralization of services on treatment delay in ovarian cancer: A study on process quality. International Journal for Quality in Health Care, 29(6), 810-816. https://doi.org/10.1093/intqhc/mzx107

Author

Eggink, F. A. ; Vermue, M. C. ; Van der Spek, C. ; Arts, H. J. ; Apperloo, M. J. ; Nijman, H. W. ; Niemeijer, G. C. / The impact of centralization of services on treatment delay in ovarian cancer : A study on process quality. In: International Journal for Quality in Health Care. 2017 ; Vol. 29, No. 6. pp. 810-816.

Harvard

Eggink, FA, Vermue, MC, Van der Spek, C, Arts, HJ, Apperloo, MJ, Nijman, HW & Niemeijer, GC 2017, 'The impact of centralization of services on treatment delay in ovarian cancer: A study on process quality', International Journal for Quality in Health Care, vol. 29, no. 6, pp. 810-816. https://doi.org/10.1093/intqhc/mzx107

Standard

The impact of centralization of services on treatment delay in ovarian cancer : A study on process quality. / Eggink, F. A.; Vermue, M. C.; Van der Spek, C.; Arts, H. J.; Apperloo, M. J.; Nijman, H. W.; Niemeijer, G. C.

In: International Journal for Quality in Health Care, Vol. 29, No. 6, 01.10.2017, p. 810-816.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Eggink FA, Vermue MC, Van der Spek C, Arts HJ, Apperloo MJ, Nijman HW et al. The impact of centralization of services on treatment delay in ovarian cancer: A study on process quality. International Journal for Quality in Health Care. 2017 Oct 1;29(6):810-816. https://doi.org/10.1093/intqhc/mzx107


BibTeX

@article{fdc470edb42c4a0abe1f8d9fc9d2f278,
title = "The impact of centralization of services on treatment delay in ovarian cancer: A study on process quality",
abstract = "Objective: Emphasis on improving healthcare quality has led to centralization of services for patients suspected of ovarian cancer. As centralization of services may induce treatment delays, we aimed to assess compliance with health system interval guidelines in patients suspected of ovarian cancer.Design: Evaluation of health system intervals, comparison between direct and indirect referrals and between 2013 and 2014.Setting: A managed clinical network (MCN) comprising 11 hospitals in the Netherlands.Participants: Patients that were treated for ovarian cancer within the University Medical Center Groningen in 2013 and 2014.Intervention: Introduction of an MCN to centralize services for patients suspected of ovarian cancer.Main Outcome Measure: Compliance with national guidelines regarding health system intervals.Results: Between 2013 and 2014 a clinically relevant improvement in compliance with guidelines was demonstrated. Within this period, median treatment intervals decreased from 34 to 29 days, and the percentage of patients in which treatment interval guidelines were met increased from 63.5 to 72.2%. New regulations and increased awareness of health system intervals inspired changes in local practice leading to improved compliance with guidelines. Compliance was highest in patients that were directly referred to our academic hospital.Conclusion: Evaluation of health system intervals in patients suspected of ovarian cancer was feasible and may be applicable to other MCNs. Though compliance with guidelines improved within the study period, there is potential for improvement. To facilitate real-time evaluation of compliance with national guidelines establishing uniformity of electronic patient files in the MCN is deemed essential.",
keywords = "quality improvement, quality measurement, quality indicators, statistical process control, guidelines, cancers, STATISTICAL PROCESS-CONTROL, HEALTH-CARE, DIAGNOSTIC DELAY, SURGERY, TIME, SURVIVAL, OUTCOMES, VOLUME, METAANALYSIS, IMPROVEMENT",
author = "Eggink, {F. A.} and Vermue, {M. C.} and {Van der Spek}, C. and Arts, {H. J.} and Apperloo, {M. J.} and Nijman, {H. W.} and Niemeijer, {G. C.}",
year = "2017",
month = oct,
day = "1",
doi = "10.1093/intqhc/mzx107",
language = "English",
volume = "29",
pages = "810--816",
journal = "International Journal for Quality in Health Care",
issn = "1353-4505",
publisher = "Oxford University Press",
number = "6",

}

RIS

TY - JOUR

T1 - The impact of centralization of services on treatment delay in ovarian cancer

T2 - A study on process quality

AU - Eggink, F. A.

AU - Vermue, M. C.

AU - Van der Spek, C.

AU - Arts, H. J.

AU - Apperloo, M. J.

AU - Nijman, H. W.

AU - Niemeijer, G. C.

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Objective: Emphasis on improving healthcare quality has led to centralization of services for patients suspected of ovarian cancer. As centralization of services may induce treatment delays, we aimed to assess compliance with health system interval guidelines in patients suspected of ovarian cancer.Design: Evaluation of health system intervals, comparison between direct and indirect referrals and between 2013 and 2014.Setting: A managed clinical network (MCN) comprising 11 hospitals in the Netherlands.Participants: Patients that were treated for ovarian cancer within the University Medical Center Groningen in 2013 and 2014.Intervention: Introduction of an MCN to centralize services for patients suspected of ovarian cancer.Main Outcome Measure: Compliance with national guidelines regarding health system intervals.Results: Between 2013 and 2014 a clinically relevant improvement in compliance with guidelines was demonstrated. Within this period, median treatment intervals decreased from 34 to 29 days, and the percentage of patients in which treatment interval guidelines were met increased from 63.5 to 72.2%. New regulations and increased awareness of health system intervals inspired changes in local practice leading to improved compliance with guidelines. Compliance was highest in patients that were directly referred to our academic hospital.Conclusion: Evaluation of health system intervals in patients suspected of ovarian cancer was feasible and may be applicable to other MCNs. Though compliance with guidelines improved within the study period, there is potential for improvement. To facilitate real-time evaluation of compliance with national guidelines establishing uniformity of electronic patient files in the MCN is deemed essential.

AB - Objective: Emphasis on improving healthcare quality has led to centralization of services for patients suspected of ovarian cancer. As centralization of services may induce treatment delays, we aimed to assess compliance with health system interval guidelines in patients suspected of ovarian cancer.Design: Evaluation of health system intervals, comparison between direct and indirect referrals and between 2013 and 2014.Setting: A managed clinical network (MCN) comprising 11 hospitals in the Netherlands.Participants: Patients that were treated for ovarian cancer within the University Medical Center Groningen in 2013 and 2014.Intervention: Introduction of an MCN to centralize services for patients suspected of ovarian cancer.Main Outcome Measure: Compliance with national guidelines regarding health system intervals.Results: Between 2013 and 2014 a clinically relevant improvement in compliance with guidelines was demonstrated. Within this period, median treatment intervals decreased from 34 to 29 days, and the percentage of patients in which treatment interval guidelines were met increased from 63.5 to 72.2%. New regulations and increased awareness of health system intervals inspired changes in local practice leading to improved compliance with guidelines. Compliance was highest in patients that were directly referred to our academic hospital.Conclusion: Evaluation of health system intervals in patients suspected of ovarian cancer was feasible and may be applicable to other MCNs. Though compliance with guidelines improved within the study period, there is potential for improvement. To facilitate real-time evaluation of compliance with national guidelines establishing uniformity of electronic patient files in the MCN is deemed essential.

KW - quality improvement

KW - quality measurement

KW - quality indicators

KW - statistical process control

KW - guidelines

KW - cancers

KW - STATISTICAL PROCESS-CONTROL

KW - HEALTH-CARE

KW - DIAGNOSTIC DELAY

KW - SURGERY

KW - TIME

KW - SURVIVAL

KW - OUTCOMES

KW - VOLUME

KW - METAANALYSIS

KW - IMPROVEMENT

U2 - 10.1093/intqhc/mzx107

DO - 10.1093/intqhc/mzx107

M3 - Article

C2 - 29025074

VL - 29

SP - 810

EP - 816

JO - International Journal for Quality in Health Care

JF - International Journal for Quality in Health Care

SN - 1353-4505

IS - 6

ER -

ID: 49527897