Patient routing and process approach implementation for regional oncology service

Murashko, R. A.; Алексеенко, С. Н.; Koshkarov, A. A.; Teslenko, L. G.; Korogod, M. A.; Rubtsova, I. T.

doi:10.25207/1608-6228-2021-28-1-84-102

Kuban. nauсh. med. vestnik

2021

DOI: 10.25207/1608-6228-2021-28-1-84-102

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Patient routing and process approach implementation for regional oncology service

R. A. Murashko

С. Н. Алексеенко

A. A. Koshkarov

et al.

Abstract: Введение. Специфика онкологической помощи населению предполагает мультидисциплинарный подход к диагностике и лечению пациентов. Сложная система взаимодействия различных субъектов в рамках организации онкологической службы обуславливает необходимость применения современных управленческих технологий, направленных на улучшение качества и скорости обслуживания пациентов за счет оптимизации процессов. Цель исследования-разработка рекомендаций по маршрутизации пациентов на основе изучения особенностей информационног… Show more

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Cited by 3 publications

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Evaluation of the results of surgical treatment of adult patients with neoplasms of the parotid salivary glands

Belchenko¹,

Chantyr²,

Dorokhina³

2022

Russian Journal of Dentistry

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BACKGROUND: The issues of the early differential diagnosis of patients with neoplasms of the parotid salivary glands (PSG), choice of the correct tactics of surgical treatment, tumor recurrence, and postoperative complications have remained relevant for many years. AIMS: To retrospectively analyze medical records of adult patients with neoplasms of the PSGs. MATERIALS AND METHODS: We analyzed a sample of patients who were hospitalized at the Maxillofacial Hospital for War Veterans of the Department of Health of the City of Moscow for the period from January 2017 to April 2022. RESULTS: The study included 302 patients (men, 38.41%; n=116; women, 61.59%; n=186). The mean age of the patients was 52.270.23 years. The study group was divided into three subgroups: the first group had benign neoplasms (n=258), the second group had malignancies (n=24), and the third group had tumor-like lesions (n=20). The article presents the main characteristics of these patients. Some features of diagnostics and planning were revealed. The authors discuss the choice of tactics of surgical techniques. CONCLUSIONS: Despite the significant development in diagnostic and surgical techniques, discrepancies between clinical and pathohistological diagnoses (28.15%) and unwanted postoperative complications remain relatively high.

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Evaluation of the results of surgical treatment of adult patients with neoplasms of the parotid salivary glands

Belchenko¹,

Chantyr²,

Dorokhina³

2022

Russian Journal of Dentistry

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Improvement of the Process Approach in the Routing of Patients With Malignant Malignances of the Maxillofacial Region in the Territory of the Penza Region in 2021

Lebedev

Kerimova

I.Yu.

2021

Mediko-farmacevtičeskij žurnal "Pulʹs"

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The worldwide concern about oncological morbidity is due to the steady increase in the detection rate of malignant neoplasms, which has a tendency to increase. More than 7 million people die from oncology every year in the world. The system of organizing the provision of medical care to the population with oncological diseases in the Russian Federation is currently undergoing a stage of improvement. New programs are aimed at early diagnosis and prevention of malignant neoplasms. Each region has the right to create and implement routing taking into account the territorial characteristics and the existing material and technical base and personnel. The routing system, created for a specific region, determines the order of treatment of patients and the functions of all links in the system of providing medical care to patients with oncopathology. An optimized system for routing patients according to the "Oncology" profile for patients with malignant neoplasms of the maxillofacial region should be structured in accordance with the regional healthcare system. A complex system of interaction, an information system capable of containing and processing a set of information, a trained interested staff dictate the need for making management decisions in the direction of optimizing the oncological service. Management decisions and technologies should be focused on improving the quality and speed of patient admission, providing highly qualified medical care using modern equipment and algorithms. The staff, in turn, determines the basis of the health care system, in connection with which it is necessary to continue education, identify and search for specialists that a specific organization needs, on which the functioning of the entire service for providing medical care to patients with oncopathology of the maxillofacial region depends. In general, the optimization of the system of providing medical care to patients with malignant neoplasms of the maxillofacial region dictates the need to combine organizational measures and a clinical approach. Unambiguously, the multi-component system of integration of various directions and departments in the process of organizing an oncological service predetermines the need to use modern management technologies and the use of all available resources in order to improve the quality of medical care.

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Features of providing specialized medical care to adult patients with neoplasms of the parotid salivary glands

Belchenko¹,

Chantyr²

2022

City Healthcare

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Introduction. For many years, the issues of diagnosis, planning and surgical treatment of adult patients with neoplasms of the parotid salivary glands (PSG) have remained relevant. Objective: to identify the features of the specialized medical care provided to adult patients with PSG neoplasms. Materials and methods. We analyzed the statistical data of specialized medical care provided to patients with PSG neoplasms in institutions of the Department of Health of the city of Moscow. To characterize the patients, a sample of medical documentation of 302 patients who were on inpatient treatment at the Maxillofacial Hospital for War Veterans was conducted for the period from January 2017 to April 2022. Results and discussion. The study group included 116 men (38.41%) and 186 women (61.59%), aged 19 to 81 years (mean age 52.27 ± 0.23 years). All patients underwent surgical intervention on the PSG with the dissection and preservation of peripheral branches of the facial nerve. As a result, the study group of patients was divided into 3 subgroups: the 1st – with benign neoplasms (n=258), the 2nd – with malignant neoplasms (n=24), the 3rd – with tumor-like lesions (n=20). Some features of diagnostics and planning are revealed, algorithm of surgical treatment are discussed. Conclusions. Despite the significant development of both diagnostic methods and surgical intervention techniques, there is a need to improve clinical recommendations and treatment protocols with a clearer indication of criteria in choosing surgical treatment. Medical care for adult patients with PSG neoplasms should be carried out on the basis of specialized centers, which will minimize the number of diagnostic errors and postoperative complications.

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Patient routing and process approach implementation for regional oncology service

Cited by 3 publications

References 18 publications

Evaluation of the results of surgical treatment of adult patients with neoplasms of the parotid salivary glands

Evaluation of the results of surgical treatment of adult patients with neoplasms of the parotid salivary glands

Improvement of the Process Approach in the Routing of Patients With Malignant Malignances of the Maxillofacial Region in the Territory of the Penza Region in 2021

Features of providing specialized medical care to adult patients with neoplasms of the parotid salivary glands

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