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Following patient pathways to psycho-oncological treatment: Identification of treatment needs by clinical staff and electronic screening
- Source :
- Psycho-oncology. 27(4)
- Publication Year :
- 2017
-
Abstract
- OBJECTIVE In this retrospective investigation of patient pathways to psycho-oncological treatment (POT), we compared the number of POT referrals before and after implementation of electronic screening for POT needs and investigated psychosocial predictors for POT wish at a nuclear medicine department. METHODS We extracted medical chart information about number of referrals and extent of follow-up contacts. During standard referral (November 2014 to October 2015), POT needs were identified by clinical staff only. In the screening-assisted referral period (November 2015 to October 2016), identification was supported by electronic screening for POT needs. Psychosocial predictors for POT wish were examined using logistic regression. RESULTS We analysed data from 487 patients during standard referral (mean age 56.4 years; 60.2% female, 88.7% thyroid carcinoma or neuroendocrine tumours) of which 28 patients (5.7%) were referred for POT. Of 502 patients in the screening-assisted referral period (mean age 57.0 years; 55.8% female, 86.6% thyroid carcinoma or neuroendocrine tumours), 69 (13.7%) were referred for POT. Of these, 36 were identified by psycho-oncological (PO) screening and 33 by clinical staff. After PO-screening implementation, referrals increased by a factor of 2.4. The strongest predictor of POT wish was depressive mood (P
- Subjects :
- Adult
Male
medicine.medical_specialty
Referral
Psycho-Oncology
Psycho-oncology
Experimental and Cognitive Psychology
Anxiety
Logistic regression
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Mass Screening
030212 general & internal medicine
Referral and Consultation
Mass screening
Aged
Retrospective Studies
business.industry
Medical record
fungi
technology, industry, and agriculture
food and beverages
Retrospective cohort study
Middle Aged
Patient Acceptance of Health Care
humanities
Psychiatry and Mental health
Neuroendocrine Tumors
Oncology
030220 oncology & carcinogenesis
Family medicine
Female
medicine.symptom
business
Psychosocial
Stress, Psychological
Subjects
Details
- ISSN :
- 10991611
- Volume :
- 27
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Psycho-oncology
- Accession number :
- edsair.doi.dedup.....3731749d28b1b17bb4aaacf06b82d2ee