Organizational models of cancer patient routing at the regional level

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Abstract

The main objective of the oncology patient routing system in the region is to ensure the accessibility and quality of outpatient oncology care. According to the regulatory documents of the Ministry of Health of Russia, the key role in the routing system is assigned to outpatient cancer care centers. We analyzed the regulatory requirements for the operation of the centers and proposed algorithms for their integration in the regions. Based on the developed algorithms, routing modeling and a rank assessment of the models were performed with a subsequent risk assessment and rationale for organizational measures to mitigate the risks.

About the authors

Sergey A. Parts

Moscow State Budgetary Healthcare Institution «Moscow City Oncological Hospital No.1, Moscow Healthcare Department»

Author for correspondence.
Email: saparts@mail.ru
ORCID iD: 0009-0003-9954-4584
SPIN-code: 1350-6713

Cand. Sci. (Med.)

Russian Federation, Moscow

Igor V. Reshetov

Sechenov First Moscow State Medical University (Sechenov University)

Email: ivreshetov@mail.ru
ORCID iD: 0000-0002-0909-6278

D. Sci. (Med.), Prof., Acad. RAS

Russian Federation, Moscow

Evgeniya S. Kuzmina

Moscow State Budgetary Healthcare Institution «Moscow City Oncological Hospital No.1, Moscow Healthcare Department»

Email: saparts@mail.ru
ORCID iD: 0009-0007-2856-5176
SPIN-code: 9668-5733

head department of chemotherapy

Russian Federation, Moscow

Vsevolod N. Galkin

Moscow State Budgetary Healthcare Institution «Moscow City Oncological Hospital No.1, Moscow Healthcare Department»

Email: saparts@mail.ru
ORCID iD: 0000-0002-6619-6179
SPIN-code: 3148-4843

D. Sci. (Med.), Prof.

Russian Federation, Moscow

References

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig.1. CAOP integration schemes.

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3. Fig.2. Routing model No. 1.

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4. Fig.3. Routing model No. 2.

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5. Fig.4. Routing model No. 3.

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