Management of Metastatic Disease in Campania (MAMETIC): Epidemiologic Data and Palliative Radiotherapy in an Italian Region. Study Protocol

Franco, Rossella Di; Cascella, Marco; Fusco, Mario; Borzillo, Valentina; Ferraioli, Piera; Scipilliti, Esmeralda; D’Ippolito, E.; Petito, Angela; CUOMO, ARTURO; Pignata, Sandro; Napoli, Marilena Di; Rossetti, Sabrina; Celentano, Egidio; Coluccia, Sergio; Grimaldi, Maria; Muto, Paolo

doi:10.21203/rs.3.rs-316250/v1

Cited by 1 publication

(1 citation statement)

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“…The implementation of art and digital technology in a value-based perspective can contribute to the mutual integration between cancer patient's pathway and valorisation of the patient's perceived value (92-95). The physician-doctor gap (96) has led us to reconsider in terms of "patient proximity" technological innovations such as data mining (97-101), process mining (102,103), omics-based predictive models (104)(105)(106)(107)(108)(109)(110)(111)(112)(113), patient telemonitoring, patients' communication and e-health (114,115). These innovations can also enhance the patient's compliance and allow a better patient experience (80,116).…”

Section: Discussionmentioning

confidence: 99%

Integration of art and technology in personalized radiation oncology care: Experiences, evidence, and perspectives

Casà

Dinapoli

Marconi

et al. 2023

Front. Public Health

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Cancer diagnoses expose patients to traumatic stress, sudden changes in daily life, changes in the body and autonomy, with even long-term consequences, and in some cases, to come to terms with the end-of-life. Furthermore, rising survival rates underline that the need for interventions for emotional wellbeing is in growing demand by patients and survivors. Cancer patients frequently have compliance problems, difficulties during treatment, stress, or challenges in implementing healthy behaviors. This scenario was highlighted during the COVID-19 emergency. These issues often do not reach the clinical attention of dedicated professionals and could also become a source of stress or burnout for professionals. So, these consequences are evident on individual, interpersonal, and health system levels. Oncology services have increasingly sought to provide value-based health care, considering resources invested, with implications for service delivery and related financing mechanisms. Value-based health care can improve patient outcomes, often revealed by patient outcome measures while seeking balance with economical budgets. The paper aims to show the Gemelli Advanced Radiation Therapy (ART) experience of personalizing the patients' care pathway through interventions based on technologies and art, the personalized approach to cancer patients and their role as “co-stars” in treatment care. The paper describes the vision, experiences, and evidence that have guided clinical choices involving patients and professionals in a co-constructed therapeutic pathway. We will explore this approach by describing: the various initiatives already implemented and prospects, with particular attention to the economic sustainability of the paths proposed to patients; the several pathways of personalized care, both from the patient's and healthcare professional perspective, that put the person's experience at the Gemelli ART Center. The patient's satisfaction with the treatment and economic outcomes have been considered. The experiences and future perspectives described in the manuscript will focus on the value of people's experiences and patient satisfaction indicators, patients, staff, and the healthcare organization.

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