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A narrative synthesis of the quality of cancer care and development of an integrated conceptual framework
Author(s) -
Chiew KimLin,
Sundaresan Puma,
Jalaludin Bin,
Vinod Shalini K.
Publication year - 2018
Publication title -
european journal of cancer care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.849
H-Index - 67
eISSN - 1365-2354
pISSN - 0961-5423
DOI - 10.1111/ecc.12881
Subject(s) - medicine , multidisciplinary approach , conceptual framework , quality (philosophy) , narrative , health care , conceptual model , thematic analysis , knowledge management , quality management , the conceptual framework , process management , narrative review , management science , operations management , management system , qualitative research , computer science , intensive care medicine , business , art , social science , linguistics , philosophy , epistemology , database , sociology , performance art , economics , art history , economic growth
The general paradigms that exist to guide measures in quality of care do not sufficiently deal with the changing needs of cancer management. The aim of this study was to review the literature regarding the quality of cancer care and develop a conceptual framework relevant to current practice. A textual narrative review of the literature was conducted by searching electronic databases from the last 10 years. Articles were then screened and included if they were both relevant to the management of cancer and standards in quality of care. Thematic analysis of the included articles was performed. Eighty‐three articles were included and 12 domains identified and integrated with current models to develop a conceptual framework. These included: healthcare delivery system; timeliness; access; appropriateness of care; multidisciplinary and coordinated care; patient experience; technical aspects; safety; patient‐centred outcomes; disease‐specific outcomes; innovation and improvement and value. We propose a conceptual framework for the quality of cancer care based on relevant and current oncology practice. This presents a more practical and comprehensive approach than general models, and can be used by healthcare providers, managers and policy makers to guide and identify the need for metrics for quality improvements.