Improving the experience of older people with colorectal and breast cancer in patient‐centred cancer care pathways using experience‐based co‐design
Abstract Background Patient and public involvement (PPI) in quality improvement of oncological care pathways for older patients are rare. Objectives Improve the care pathway experience of older cancer patients and explore lessons learned regarding how to engage this vulnerable group. Design Experien...
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doaj-a7af24003138454aa292e17ed1bb71772021-04-27T09:24:28ZengWileyHealth Expectations1369-65131369-76252021-04-0124247849010.1111/hex.13189Improving the experience of older people with colorectal and breast cancer in patient‐centred cancer care pathways using experience‐based co‐designAlbine Moser0Inge Melchior1Marja Veenstra2Esther Stoffers3Elvira Derks4Kon‐Siong Jie5Research Centre for Autonomy and Participation of Chronically Ill People Zuyd University of Applied Sciences Heerlen The NetherlandsDepartment of Internal Medicine Zuyderland Medical Centre Sittard The NetherlandsBurgerkracht Limburg (Citizin Power Limburg) Sittard The NetherlandsBurgerkracht Limburg (Citizin Power Limburg) Sittard The NetherlandsDepartment of Quality ImprovementZuyderland Medical Centre Sittard The NetherlandsDepartment of Internal Medicine Zuyderland Medical Centre Sittard The NetherlandsAbstract Background Patient and public involvement (PPI) in quality improvement of oncological care pathways for older patients are rare. Objectives Improve the care pathway experience of older cancer patients and explore lessons learned regarding how to engage this vulnerable group. Design Experience‐Based Co‐Design. Setting and participants: Older cancer patients, their caregivers and healthcare professionals within colorectal and breast cancer care pathways. Interventions: Co‐design quality improvement teams. Main outcome measures: Colorectal cancer care pathway touchpoints were (a) availability of a contact person during diagnostic, treatment and aftercare phases; (b) collaboration between physicians and different hospital departments; (c) continuous relationship with same physician; (d) respectful treatment; (e) and information transfer with primary care. Breast cancer care pathway touchpoints were (a) comprehensive information package and information provision, (b) care planning based on patient preferences, (c) continuity of patient–professional relationship and (d) specialized care in case of vulnerability. Challenges related to PPI included (a) ability of older cancer patients to be reflective, critical and think at a collective level; (b) gaining support and commitment of professionals; (d) overcoming cultural differences and power inequalities; and (e) involving researchers and facilitators with appropriate expertise and position. Conclusion This multidisciplinary quality improvement project revealed several challenges of PPI with older cancer patients and their caregivers. Research teams themselves need to assume the role of facilitator to enable meaningful PPI of older cancer patients. Patient or Public Contribution Patient and caregiver representatives and advocates were involved in the design, conduct, analysis, interpretation of the data and preparation of this manuscript.https://doi.org/10.1111/hex.13189breast cancercancer care pathwayscaregiverscolorectal cancerexperience‐based co‐designolder cancer patients |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Albine Moser Inge Melchior Marja Veenstra Esther Stoffers Elvira Derks Kon‐Siong Jie |
spellingShingle |
Albine Moser Inge Melchior Marja Veenstra Esther Stoffers Elvira Derks Kon‐Siong Jie Improving the experience of older people with colorectal and breast cancer in patient‐centred cancer care pathways using experience‐based co‐design Health Expectations breast cancer cancer care pathways caregivers colorectal cancer experience‐based co‐design older cancer patients |
author_facet |
Albine Moser Inge Melchior Marja Veenstra Esther Stoffers Elvira Derks Kon‐Siong Jie |
author_sort |
Albine Moser |
title |
Improving the experience of older people with colorectal and breast cancer in patient‐centred cancer care pathways using experience‐based co‐design |
title_short |
Improving the experience of older people with colorectal and breast cancer in patient‐centred cancer care pathways using experience‐based co‐design |
title_full |
Improving the experience of older people with colorectal and breast cancer in patient‐centred cancer care pathways using experience‐based co‐design |
title_fullStr |
Improving the experience of older people with colorectal and breast cancer in patient‐centred cancer care pathways using experience‐based co‐design |
title_full_unstemmed |
Improving the experience of older people with colorectal and breast cancer in patient‐centred cancer care pathways using experience‐based co‐design |
title_sort |
improving the experience of older people with colorectal and breast cancer in patient‐centred cancer care pathways using experience‐based co‐design |
publisher |
Wiley |
series |
Health Expectations |
issn |
1369-6513 1369-7625 |
publishDate |
2021-04-01 |
description |
Abstract Background Patient and public involvement (PPI) in quality improvement of oncological care pathways for older patients are rare. Objectives Improve the care pathway experience of older cancer patients and explore lessons learned regarding how to engage this vulnerable group. Design Experience‐Based Co‐Design. Setting and participants: Older cancer patients, their caregivers and healthcare professionals within colorectal and breast cancer care pathways. Interventions: Co‐design quality improvement teams. Main outcome measures: Colorectal cancer care pathway touchpoints were (a) availability of a contact person during diagnostic, treatment and aftercare phases; (b) collaboration between physicians and different hospital departments; (c) continuous relationship with same physician; (d) respectful treatment; (e) and information transfer with primary care. Breast cancer care pathway touchpoints were (a) comprehensive information package and information provision, (b) care planning based on patient preferences, (c) continuity of patient–professional relationship and (d) specialized care in case of vulnerability. Challenges related to PPI included (a) ability of older cancer patients to be reflective, critical and think at a collective level; (b) gaining support and commitment of professionals; (d) overcoming cultural differences and power inequalities; and (e) involving researchers and facilitators with appropriate expertise and position. Conclusion This multidisciplinary quality improvement project revealed several challenges of PPI with older cancer patients and their caregivers. Research teams themselves need to assume the role of facilitator to enable meaningful PPI of older cancer patients. Patient or Public Contribution Patient and caregiver representatives and advocates were involved in the design, conduct, analysis, interpretation of the data and preparation of this manuscript. |
topic |
breast cancer cancer care pathways caregivers colorectal cancer experience‐based co‐design older cancer patients |
url |
https://doi.org/10.1111/hex.13189 |
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