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Wind A, Oberst S, Westerhuis W, Blaauwgeers H, Sæter G, de Paoli P, Nagy P, Burrion JB, Jolly E, Lovey J, van Harten W. Evaluating comprehensive cancer networks; a review of standards and evaluation methods for care networks to inform a comparison with the OECI comprehensive cancer network standards. Acta Oncol 2023; 62:15-24. [PMID: 36786345 DOI: 10.1080/0284186x.2023.2170275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
INTRODUCTION To ensure that all citizens have equal access to high-quality cancer diagnosis and care, the EU4Health Programme, Europe's Beating Cancer Plan, and Horizon Europe's Cancer Mission propose Comprehensive Cancer Infrastructures in every European Union Member State. It is therefore important to establish the basic principles for high-performing cancer networks and a methodology for evaluating their quality and effectiveness. This article describes methods and standards/indicators for network evaluation found in literature, gives a comparative overview of the new OECI European Cancer Network Quality standards, and proposes principles for evaluating the performance of Comprehensive Cancer Networks as a basis for continuous improvement. MATERIALS AND METHODS We performed a scoping literature review on methods and standards/indicators for care-network evaluation. We then compared the OECI set with literature findings, categorised standards that were similar, reflected on standards that were different, and deduced principles for quality standards for cancer networks. RESULTS Of 1002 articles identified, 17 reported on evaluation methods and/or (mostly) qualitative indicators. Sixteen studies described indicators/standards for evaluating care networks, critical success factors or desirable outcomes. Of the 54 present OECI standards, 32 had a literature equivalent. No literature equivalent was found for 22 standards, especially on those related to the combination of care and research. The proposed OECI evaluation methods (survey, document review, and interviews) were all reported in the literature. From the conformity of these results, we deduced 8 principles for standards evaluating the effectiveness of Comprehensive Cancer Networks. CONCLUSIONS Research on the evaluation of the effectiveness of care networks is scarce. Evaluation methods vary and are often single time-point assessments. The OECI set contributes to establishing clear principles and standards to evaluate the effectiveness of Comprehensive Cancer Networks.
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Affiliation(s)
- Anke Wind
- Rijnstate Hospital, Arnhem, The Netherlands
| | - Simon Oberst
- Accreditation and Designation, Organisation of European Cancer Institutes, Brussels, Belgium
| | - Willien Westerhuis
- Accreditation and Designation, Organisation of European Cancer Institutes, Brussels, Belgium.,The Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, The Netherlands
| | - Harriet Blaauwgeers
- Accreditation and Designation, Organisation of European Cancer Institutes, Brussels, Belgium.,The Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, The Netherlands
| | - Gunnar Sæter
- Accreditation and Designation, Organisation of European Cancer Institutes, Brussels, Belgium.,Division of Cancer Medicine, Oslo University Hospital, Oslo, Norway
| | - Paolo de Paoli
- Accreditation and Designation, Organisation of European Cancer Institutes, Brussels, Belgium.,Alliance Against Cancer, Rome, Italy
| | - Péter Nagy
- Accreditation and Designation, Organisation of European Cancer Institutes, Brussels, Belgium.,National Institute of Oncology, Budapest, Hungary
| | - Jean-Benoit Burrion
- Accreditation and Designation, Organisation of European Cancer Institutes, Brussels, Belgium.,Institut Jules Bordet, Brussels, Belgium
| | - Eva Jolly
- Accreditation and Designation, Organisation of European Cancer Institutes, Brussels, Belgium.,Netherlands Cancer Institute, Amsterdam, The Netherlands
| | - József Lovey
- Accreditation and Designation, Organisation of European Cancer Institutes, Brussels, Belgium.,National Institute of Oncology, Budapest, Hungary
| | - Wim van Harten
- Rijnstate Hospital, Arnhem, The Netherlands.,Accreditation and Designation, Organisation of European Cancer Institutes, Brussels, Belgium.,Theme Cancer, Karolinska University Hospital, Stockholm, Sweden
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