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 language | English |
|---|---|
| Pages (from-to) | 25-30 |
| Number of pages | 6 |
| Journal | Minerva Medica |
| Volume | 88 |
| Issue number | 1-2 |
| Publication status | Published - 1997 |
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Keywords
- home care
- terminal care
ASJC Scopus subject areas
- Medicine(all)
Cite this
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 journal › Article
}
TY - JOUR
T1 - Assistenza extraospedaliera al paziente oncologico terminale
T2 - Aspetti clinico-organizzativi. Nostra experienza
AU - Marchei, P.
AU - Simeoni, F.
AU - Bianco, V.
AU - Santini, D.
AU - Balducci, M.
AU - Vecchione, A.
AU - Frati, L.
PY - 1997
Y1 - 1997
N2 - 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.
AB - 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.
KW - home care
KW - terminal care
UR - http://www.scopus.com/inward/record.url?scp=0030947126&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030947126&partnerID=8YFLogxK
M3 - Article
C2 - 9132628
AN - SCOPUS:0030947126
VL - 88
SP - 25
EP - 30
JO - Minerva Medicolegale e Archivio di Antropologia Criminale
JF - Minerva Medicolegale e Archivio di Antropologia Criminale
SN - 0026-4806
IS - 1-2
ER -