Document Detail


Calman-Hine reassessed: a survey of cancer network development in England, 1999-2000.
MedLine Citation:
PMID:  12164976     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
RATIONALE, AIMS AND OBJECTIVES: The paper assesses preliminary national data on the development of cancer care networks in England. METHODS: In January 2000, a national postal survey was sent to lead clinicians at 36 cancer centres and associate centres. Respondents were asked to provide basic numerical data on the design of the network (i.e. its configuration), detailing how many units it encompassed, and whether the centre was a multiple or a single entity. RESULTS: The survey highlighted national variations in the size and configuration of networks. The survey also highlighted tentative signs of shifts in clinical practice. The results showed that consultants at cancer centres and units were engaging in two forms of collaboration across centre-unit boundaries. Type 1 involved routine multidisciplinary team (MDT) outreach from centres to units, incorporating joint planning between clinicians at cancer centres and cancer units. Type 2 collaboration involved joint planning but also promoted joint centre and unit training and continuing professional development (CPD) programmes. CONCLUSIONS: In our estimation, both forms of collaboration represented early evidence of qualitative changes in medical working practices. Organizational changes within cancer services have moved swiftly since initial soundings were taken in 2000 and we update our initial commentary in the light of recent empirical data. The findings may be of wider significance to managers and health practitioners who are working towards the implementation of delivery network elsewhere in the UK National Health Service.
Authors:
Beth Kewell; Chris Hawkins; Ewan Ferlie
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of evaluation in clinical practice     Volume:  8     ISSN:  1356-1294     ISO Abbreviation:  J Eval Clin Pract     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-08-07     Completed Date:  2002-11-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9609066     Medline TA:  J Eval Clin Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  303-11; discussion 299-301     Citation Subset:  IM    
Affiliation:
Bristol Business School, University of the West of England, Frechay Campus, Bristol, UK.
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MeSH Terms
Descriptor/Qualifier:
Cancer Care Facilities / organization & administration*
Cooperative Behavior
England
Humans
Interinstitutional Relations
Organizational Affiliation
Organizational Innovation
Patient Care Team
Program Development*
Regional Medical Programs / organization & administration*
State Medicine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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