An observational study in Care Coordination in Oncology, sponsored by University Hospital, Bordeaux. Completed at 10 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-06-19.
Sponsored by University Hospital, Bordeaux · Observational
Several stakeholders are implied in cancer care pathways and there is a need for coordinating their actions. New occupations of care coordination have thus emerged. However, the conditions of their efficiency have been too few reported and included discrepancies between reports. In this context, the main objective is to propose a modeling of care coordination and associated emerging occupations (nurse-based) by comparing theoretical expected outcomes to professionals, patients and caregivers representations.
Several stakeholders are implied in cancer care pathways and there is a need to coordinate their actions. New occupations of care coordination have thus emerged, such as nurse coordinator in France (IDEC: Infirmière de Coordination). However, the conditions of their efficiency are not well known. Moreover, several other complementary approaches and nurse occupations have to be identified because of their contribution to care coordination (IDE TAS, IPO, IDE AMA, IDE-CO, IDE HAD-CAD, IDE ETP)*. Finally, all together, these interventions of care coordination appeared as complex and asked for a theoretical model. Because of this high variability of the practices, without an underlying model, the impact of care coordination on patient quality of life, safety and efficiency of care is difficult to assess. In this context, the main objective is to propose a modeling of care coordination and associated emerging occupations by comparing theoretical expected outcomes to professionals, patients and caregivers representations.
The pilot observational study is based on three distinct stages: (1) the definition of care coordination in oncology using a literature review and a Delphi consensus study; (2) the description of practices, contexts, perceptions and attitudes related to care coordination occupations in oncology using a qualitative and a cross-sectional quantitative survey; (3) the comparison of the practices to the theoretical model to propose a modeling of care coordination occupations in oncology.
Four samples :
For professionals working with professionals of care coordination:
Exclusion Criteria:
Care coordination and associated emerging occupations by comparing theoretical expected outcomes to professionals, patients and caregivers representations
Modeling of care coordination in Oncology in France
Constitutive elements of modelling of care coordination in oncology in France (qualitative analysis)
Time frame: During the whole period (36 months: from Month 1 to Month 36)
Care coordination profesionals quality of life
Three scores : perceived organizational support, role conflict and commitment to the organization
Time frame: Quantitative cross sectional survey (from Month 10 to Month 29)
Satisfaction with care coordination for profes professionals working with professionals of care coordination
Score of satisfaction
Time frame: Quantitative cross sectional survey (from Month 10 to Month 29)
Patients quality of life and satisfaction with care coordination
Score of satisfaction and score of quality of life (measured with the European Organization for Research and Treatment (EORTC) quality of life questionnaire)
Time frame: Quantitative cross sectional survey (from Month 10 to Month 29)
Caregivers burden with care coordination
Score of burdean (Zarit Burden Interview) with care coordination
Time frame: Quantitative cross sectional survey (from Month 10 to Month 29)
Caregivers satisfaction with care coordination
Score of satisfaction with care coordination
Time frame: Quantitative cross sectional survey (from Month 10 to Month 29)
Plan to share: No
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University Hospital, Bordeaux