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Implementation of a New Method to Quantify the Clinical Activity in a Comprehensive Cancer Center

Received: 9 January 2019     Accepted: 1 March 2019     Published: 21 March 2019
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Abstract

There is no generalized way of evaluating clinical care activity in a comprehensive Cancer Center. Time clinical units is the most common procedure worldwide. In a spanish group it has been developed a new system based on the daily real activity of each medical oncologist of his team. In adittion, it has been collected the daily activity from January 2016 to December 2017 of each doctor considering different values (from 1 to 4) depending on the complexity of the activity. Follow up visit of a patient [1], treatment visit [2], Clinical trial visit or Inpatient visit (3) and New Patient First visit (4). Then it was added all the daily values of each medical oncologist. Moreover, the clinical activity of each Oncology Unit changed clearly when it was applied the new method. For example, breast cancer unit change from 24% to 21 % of the global activity, GI Unit from 47% to 49%, Lung Unit from 13% to 14%. In Genitourinary and Gynecological cancer and Prostate tumor units there are no change. These changes draw the different complexity of each Oncology Unit. It was clearly useful to get a better information of the real clinical activity of each team and cancer center. To sum up, this tool can be useful to unifique and compare the different complexity in the clinical activity of Medical Oncology Teams, units and hospitals allocating resources based on this new system.

Published in Journal of Cancer Treatment and Research (Volume 7, Issue 1)
DOI 10.11648/j.jctr.20190701.12
Page(s) 9-12
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Cancer Center, Clinical Activity, Inpatient, Outpatient, Working Load

References
[1] NCCN clinical guidelines. ESMO clinical guidelines.
[2] Spinks TE, Walters R, Felley TW et al. Improving Cancer Care Through Public Reporting of Meaningful Quality Measures. Health Affairs 2011; 30, 4:664-672.
[3] Guy PG, Richardson LC. Visit duration for outpatient physician office visit among patients with cancer. J Oncol Pract 2012 May; 8(3 Suppl): 2s–8s.
[4] Salvador J, Grávalos C, Albanell J et al. Pilot study on workload estimate in breast cancer, lung cancer and colorectal cancer in a Medical Oncology Service at Valme hospital. Clin Transl Oncol 2012; 14:820–826.
[5] Alvarez R, Rodriguez J, Ugidos L et al. How to measure faculty clinical activity in a Comprenhensive Cancer Center? J Clin Oncol 2017; 35: (suppl; abstr e18202).
[6] Colomer R, Alba E, Llombart A et al (2008) White Paper on Medical Oncology in Spain. Care Planning of Medical Oncology in Spain. Madrid: Dispublic, 2007.
[7] Donabedian A: Evaluating the quality of medical care. Milbank Mem Fund Q 44:166-206, 1966 (suppl 1).
[8] SJ, Calnan M: Convergence and divergence: Assessing criteria of consumer satisfaction across general practice, dental and hospital care settings. Soc Sci Med 33:707- 716, 1991.
[9] Goldzweig G, Meirowitz A, Hubert A, et al. Meeting expectations of patients With cancer: Relationship between patient satisfaction, depression, and coping. J Clin Oncol 2010. Published Ahead of Print on February 22, 2010 as 10.1200/JCO.2009.25.4987
[10] Strategy in Cancer of the National Health System 2006. Quality Plan for the National System of Health Ministry of Health and Consumption. Madrid, Spain.
Cite This Article
  • APA Style

    César Muñoz, Rafael Álvarez, Jesús Rodriguez, Lisardo Ugidos, Enrique Sanz, et al. (2019). Implementation of a New Method to Quantify the Clinical Activity in a Comprehensive Cancer Center. Journal of Cancer Treatment and Research, 7(1), 9-12. https://doi.org/10.11648/j.jctr.20190701.12

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    ACS Style

    César Muñoz; Rafael Álvarez; Jesús Rodriguez; Lisardo Ugidos; Enrique Sanz, et al. Implementation of a New Method to Quantify the Clinical Activity in a Comprehensive Cancer Center. J. Cancer Treat. Res. 2019, 7(1), 9-12. doi: 10.11648/j.jctr.20190701.12

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    AMA Style

    César Muñoz, Rafael Álvarez, Jesús Rodriguez, Lisardo Ugidos, Enrique Sanz, et al. Implementation of a New Method to Quantify the Clinical Activity in a Comprehensive Cancer Center. J Cancer Treat Res. 2019;7(1):9-12. doi: 10.11648/j.jctr.20190701.12

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  • @article{10.11648/j.jctr.20190701.12,
      author = {César Muñoz and Rafael Álvarez and Jesús Rodriguez and Lisardo Ugidos and Enrique Sanz and Antonio Cubillo},
      title = {Implementation of a New Method to Quantify the Clinical Activity in a Comprehensive Cancer Center},
      journal = {Journal of Cancer Treatment and Research},
      volume = {7},
      number = {1},
      pages = {9-12},
      doi = {10.11648/j.jctr.20190701.12},
      url = {https://doi.org/10.11648/j.jctr.20190701.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jctr.20190701.12},
      abstract = {There is no generalized way of evaluating clinical care activity in a comprehensive Cancer Center. Time clinical units is the most common procedure worldwide. In a spanish group it has been developed a new system based on the daily real activity of each medical oncologist of his team. In adittion, it has been collected the daily activity from January 2016 to December 2017 of each doctor considering different values (from 1 to 4) depending on the complexity of the activity. Follow up visit of a patient [1], treatment visit [2], Clinical trial visit or Inpatient visit (3) and New Patient First visit (4). Then it was added all the daily values of each medical oncologist. Moreover, the clinical activity of each Oncology Unit changed clearly when it was applied the new method. For example, breast cancer unit change from 24% to 21 % of the global activity, GI Unit from 47% to 49%, Lung Unit from 13% to 14%. In Genitourinary and Gynecological cancer and Prostate tumor units there are no change. These changes draw the different complexity of each Oncology Unit. It was clearly useful to get a better information of the real clinical activity of each team and cancer center. To sum up, this tool can be useful to unifique and compare the different complexity in the clinical activity of Medical Oncology Teams, units and hospitals allocating resources based on this new system.},
     year = {2019}
    }
    

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    AU  - César Muñoz
    AU  - Rafael Álvarez
    AU  - Jesús Rodriguez
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    JF  - Journal of Cancer Treatment and Research
    JO  - Journal of Cancer Treatment and Research
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    AB  - There is no generalized way of evaluating clinical care activity in a comprehensive Cancer Center. Time clinical units is the most common procedure worldwide. In a spanish group it has been developed a new system based on the daily real activity of each medical oncologist of his team. In adittion, it has been collected the daily activity from January 2016 to December 2017 of each doctor considering different values (from 1 to 4) depending on the complexity of the activity. Follow up visit of a patient [1], treatment visit [2], Clinical trial visit or Inpatient visit (3) and New Patient First visit (4). Then it was added all the daily values of each medical oncologist. Moreover, the clinical activity of each Oncology Unit changed clearly when it was applied the new method. For example, breast cancer unit change from 24% to 21 % of the global activity, GI Unit from 47% to 49%, Lung Unit from 13% to 14%. In Genitourinary and Gynecological cancer and Prostate tumor units there are no change. These changes draw the different complexity of each Oncology Unit. It was clearly useful to get a better information of the real clinical activity of each team and cancer center. To sum up, this tool can be useful to unifique and compare the different complexity in the clinical activity of Medical Oncology Teams, units and hospitals allocating resources based on this new system.
    VL  - 7
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Author Information
  • Centro Integral Oncológico Clara Campal (CIOCC), Hospital Universitario HM Sanchinarro, Madrid, Spain

  • Centro Integral Oncológico Clara Campal (CIOCC), Hospital Universitario HM Sanchinarro, Madrid, Spain

  • Centro Integral Oncológico Clara Campal (CIOCC), Hospital Universitario HM Sanchinarro, Madrid, Spain

  • Centro Integral Oncológico Clara Campal (CIOCC), Hospital Universitario HM Sanchinarro, Madrid, Spain

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