Outpatient Cancer Care Delivery in the Context of E-Oncology: A French Perspective on “Cancer outside the Hospital Walls”

Abstract : In oncology, the treatment of patients outside of hospitals has become imperative due to an increasing number of patients who are older and live longer, along with issues such as medical desertification, oncologist hyperspecialization, and difficulties in financing mounting health expenditures. Treatments have become less "invasive", with greater precision and efficiency. Patients can therefore receive most of their care outside of hospitals. The development of e-health can address these new imperatives. In this letter, we describe the different e-health tools and their potential clinical impacts in oncology, as already reported at every level of care, including education, prevention, diagnosis, treatment, and monitoring. A few randomized studies have yet demonstrated the clinical benefit. We also comment on issues and limits of "cancer outside the hospital walls" from the point of view of patients, health care professionals, health facilities, and public authorities. Care providers in hospitals and communities will have to adapt to these changes within well-coordinated networks in order to better meet patient expectations regarding increasing education and personalizing management. Ultimately, controlled studies should aim to definitively demonstrate areas of interest, benefits, and incentives, for not only patients, but also caregivers (formal and informal) and health care providers, health care facilities, and the nation.
Complete list of metadatas

Cited literature [116 references]  Display  Hide  Download

https://www.hal.inserm.fr/inserm-02329449
Contributor : Christine Dupuis <>
Submitted on : Wednesday, October 23, 2019 - 3:30:11 PM
Last modification on : Saturday, October 26, 2019 - 2:06:33 AM

File

cancers-11-00219.pdf
Publisher files allowed on an open archive

Identifiers

Collections

Citation

François Bertucci, Anne-Gaëlle Le Corroller-Soriano, Audrey Monneur-Miramon, Jean-François Moulin, Sylvain Fluzin, et al.. Outpatient Cancer Care Delivery in the Context of E-Oncology: A French Perspective on “Cancer outside the Hospital Walls”. Cancers, MDPI, 2019, 11 (2), pp.219. ⟨10.3390/cancers11020219⟩. ⟨inserm-02329449⟩

Share

Metrics

Record views

11

Files downloads

15