Management in Health, Vol 15, No 4 (2011)

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THE TRAJECTORIES OF BREAST CANCER PATIENTS - COMPARISON OF TWO SIMILAR POPULATION SIZE REGIONS FROM FRANCE AND ROMANIA (RHONE ALPES AND TRANSYLVANIA)

Elena Dana BURDUJA, Bernard BOUREILLE, Jean Marie RODRIGUES, Beatrice Trombert PAVIOT, Simona MUŞAT

Abstract


The work presented in this article is part of a larger study that aims at comparing and putting together information about patients’ trajectories and resources allocation model, in order to suggest a more efficient and equitable way of organizing certain type of medical services within a region or even at national level.

The objective of the study is to analyze the situation for beast cancer patients’ trajectories in 2 similar regions (population size) and see if similar or different conclusions related with the organization of the cancer network can be drawn, similar (or not) with those of the French colleagues analyzing the Rhone Alpes database (1).

The methodology used was based on the availability for both countries and regions of (all) patients level data information, including standardized clinical and geographical information about patient and the medical facility where the patient sleeked care. Analysis was performed using the Microsoft Access data base made available for inpatient care in Romania (courtesy of the National School of Public health from Bucharest) and tracked with the help of the UPI (Unique Patient Identifier) the trajectory of the breast cancer patients (C50, World Health Organization International Classification of Diseases version 10) along the hospitals from Transylvania (16 counties) during year 2005 (January 1st, December 31st).

In parallel, a literature and legislative and regulatory review made possible analysis of the existing cancer network formal organization within the Romanian health system and compare it with the results of the patients’ trajectories analysis.

The results of the studies allow for two main conclusions: using similar standardized information systems to record medical activity allows comparisons of not only data, but concepts between population similar regions and trajectories of the breast cancer patients analyzed for Transylvania are a good predictor for the (re) organization of the cancer health care delivery network, especially of the resources allocation component is also taken into consideration.

 

Keywords:

Patients’ trajectory, hospitals network, breast cancer, classification system, region


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