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The 2015 National Cancer Program in Sweden: Introducing standardized care pathways in a decentralized system.
The National Board of Health and Welfare, Sweden;Lund University, Sweden.
Lund University, Sweden.
The National Board of Health and Welfare, Sweden.
The National Board of Health and Welfare, Sweden;Lund university, Sweden.
2016 (English)In: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 120, no 12, p. 1378-1382Article in journal (Refereed) Published
Abstract [en]

Starting in 2015, the Swedish government has initiated a national reform to standardize cancer patient pathways and thereby eventually speed up treatment of cancer. Cancer care in Sweden is characterized by high survival rates and a generally high quality albeit long waiting times. The objective with the new national program to standardize cancer care pathways is to reduce these waiting times, increase patient satisfaction with cancer care and reduce regional inequalities. A new time-point for measuring the start of a care process is introduced called well-founded suspicion, which is individually designed for each cancer diagnosis. While medical guidelines are well established earlier, the standardisation is achieved by defining time boundaries for each step in the process. The cancer reform program is a collaborative effort initiated and incentivized by the central government while multi-professional groups develop the time-bound standardized care pathways, which the regional authorities are responsible for implementing. The broad stakeholder engagement and time-bound guidelines are interesting approaches to study for other countries that need to streamline care processes.

Place, publisher, year, edition, pages
Elsevier, 2016. Vol. 120, no 12, p. 1378-1382
Keywords [en]
Benchmarking, Clinical pathways, Continuity of patient care, Government programs, Health care reform, Standardized, Sweden, Waiting list
National Category
Cancer and Oncology Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Natural Science, Medicine
Identifiers
URN: urn:nbn:se:lnu:diva-81326DOI: 10.1016/j.healthpol.2016.09.008PubMedID: 27823827OAI: oai:DiVA.org:lnu-81326DiVA, id: diva2:1298977
Available from: 2019-03-25 Created: 2019-03-25 Last updated: 2019-04-15Bibliographically approved

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Thulesius, Hans

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CiteExportLink to record
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Citation style
  • apa
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  • vancouver
  • Other style
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Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
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  • asciidoc
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