T1. Patient-Centered Medicine

T1.1 – TELECONSULTING

Multidisciplinary discussions of diagnosis and treatment facilitate good practice in oncology, but complex cases or rare entities require skills not available in-house. There is a real need for a permanent structure to conduct this activity between institutions organized into networks. This will promote our inter-regional hematology and oncology programs for patients in UKA-CIO, CHU de Liège and MUMC+.

This first action will aim at developing a teleconsulting platform to get personalized advice and broad experiences with 2 parts:

• Clinical teleconsulting: Multidisciplinary oncological discussions on rare cancers / difficult cases
• Pathological teleconsulting: Pathology outsourcing to discuss difficult cases or get a second opinion

T1.2 – PROM

There is a willingness to organize networks of care and to promote greater transparency on results: “what is the added value for the patient?”. The quality of care assessment should therefore include « Patient-Reported Outcome Measurement » (PROM), a direct measure of added value for the patient rarely evaluated in clinical practice.

The aim is to create an application to collect results reported by patients in a standardized and validated way with an automatic transfer to the electronic patient record. A study of the impact of therapeutic decisions on PROM in 2 selected representative malignant tumors will be conducted to analyze their potential advantages and disadvantages as experienced by the patient.

T1.3 – HOME HOSPITALIZATION

Health authorities seek to limit the use of expensive hospital resources. Oncology has greatly developed the concept of outpatient hospital care in daycare hospitals (small operations, endoscopy, chemotherapy, transfusions …). Administering some of this specialized care at home by hospital and collaborating personnel would considerably increase patient comfort, improved bed availability and reduce costs for hospitals and insurances. Thus, our ambition is to develop and validate the new concept of hospitalization at home (HAD) for medical treatment (chemotherapy, antibiotics, supportive care) and physical therapy.