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The 2015 National Cancer Program in Sweden: Introducing standardized care pathways in a decentralized system.

https://arctichealth.org/en/permalink/ahliterature284148
Source
Health Policy. 2016 Dec;120(12):1378-1382
Publication Type
Article
Date
Dec-2016
Author
Jens Wilkens
Hans Thulesius
Ingrid Schmidt
Christina Carlsson
Source
Health Policy. 2016 Dec;120(12):1378-1382
Date
Dec-2016
Language
English
Publication Type
Article
Keywords
Antineoplastic Protocols - standards
Continuity of Patient Care
Health Care Reform - methods
Health Policy
Humans
National Health Programs
Patient satisfaction
Politics
Sweden
Waiting Lists
Abstract
Starting in 2015, the Swedish government has initiated a national reform to standardize cancer patient pathways and thereby eventually speed up treatment of cancer. Cancer care in Sweden is characterized by high survival rates and a generally high quality albeit long waiting times. The objective with the new national program to standardize cancer care pathways is to reduce these waiting times, increase patient satisfaction with cancer care and reduce regional inequalities. A new time-point for measuring the start of a care process is introduced called well-founded suspicion, which is individually designed for each cancer diagnosis. While medical guidelines are well established earlier, the standardisation is achieved by defining time boundaries for each step in the process. The cancer reform program is a collaborative effort initiated and incentivized by the central government while multi-professional groups develop the time-bound standardized care pathways, which the regional authorities are responsible for implementing. The broad stakeholder engagement and time-bound guidelines are interesting approaches to study for other countries that need to streamline care processes.
PubMed ID
27823827 View in PubMed
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