Assistenza extraospedaliera al paziente oncologico terminale: Aspetti clinico-organizzativi. Nostra experienza

P. Marchei, F. Simeoni, V. Bianco, D. Santini, M. Balducci, A. Vecchione, L. Frati

Research output: Contribution to journalArticle

Abstract

Home care for terminal oncological patients is, in Italy and in many other highly developed countries, a rapidly expanding part of the health system. At the time of writing it would appear to be the most valid response to the mounting economic and social demands of the population. The present paper has two purposes: 1) to propose an integrated home care operating model for the cancer patient that comprises various operating stages: a) recruitment of patients on the basis of the seriousness of the cancer, life expectancy and socioeconomic conditions of the family; b) interdisciplinary planning of a personalised care project; c) implementation of an integrated care programme at the home of the patient; d) periodic control of the project team; e) periodic professional courses for health personnel; 2) to illustrate our specific clinical expertise in the sector, in 16 months of activity (October 94 - February 96) during which we handled on a home basis 27 cancer patients at an advanced stage of the disease; specifically, we describe the main internal-oncological and palliative type problems encountered during the home care period; 3) finally, to highlight in terms of cost/benefit ratio the economic advantages of home compared to the traditional hospitalization care model.

Original languageEnglish
Pages (from-to)25-30
Number of pages6
JournalMinerva Medica
Volume88
Issue number1-2
Publication statusPublished - 1997

Fingerprint

Nostrums
Home Care Services
Economics
Neoplasms
Life Expectancy
Developed Countries
Health Personnel
Patient Selection
Italy
Cost-Benefit Analysis
Hospitalization
Health
Population

Keywords

  • home care
  • terminal care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Marchei, P., Simeoni, F., Bianco, V., Santini, D., Balducci, M., Vecchione, A., & Frati, L. (1997). Assistenza extraospedaliera al paziente oncologico terminale: Aspetti clinico-organizzativi. Nostra experienza. Minerva Medica, 88(1-2), 25-30.

Assistenza extraospedaliera al paziente oncologico terminale : Aspetti clinico-organizzativi. Nostra experienza. / Marchei, P.; Simeoni, F.; Bianco, V.; Santini, D.; Balducci, M.; Vecchione, A.; Frati, L.

In: Minerva Medica, Vol. 88, No. 1-2, 1997, p. 25-30.

Research output: Contribution to journalArticle

Marchei, P, Simeoni, F, Bianco, V, Santini, D, Balducci, M, Vecchione, A & Frati, L 1997, 'Assistenza extraospedaliera al paziente oncologico terminale: Aspetti clinico-organizzativi. Nostra experienza', Minerva Medica, vol. 88, no. 1-2, pp. 25-30.
Marchei P, Simeoni F, Bianco V, Santini D, Balducci M, Vecchione A et al. Assistenza extraospedaliera al paziente oncologico terminale: Aspetti clinico-organizzativi. Nostra experienza. Minerva Medica. 1997;88(1-2):25-30.
Marchei, P. ; Simeoni, F. ; Bianco, V. ; Santini, D. ; Balducci, M. ; Vecchione, A. ; Frati, L. / Assistenza extraospedaliera al paziente oncologico terminale : Aspetti clinico-organizzativi. Nostra experienza. In: Minerva Medica. 1997 ; Vol. 88, No. 1-2. pp. 25-30.
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