ESTRO 36 Abstract Book

S1019 ESTRO 36 _______________________________________________________________________________________________

Finland 2 Turku University Hospital, Centre for Clinical Inrformatics, Turku, Finland 3 Turku University Hospital, Centre for Clinical Informatics, Turku, Finland 4 University of Turku, Preventive Health Care, Turku, Finland Purpose or Objective Access to care can have a major impact on cancer care outcomes. Therefore hospitals should provide sufficiently rapid access and information of the time to support patients’ decision making of treatment unit. The follow up data of the access to care for patients is also a criterion of qualitative cancer care defined by Organization of European Cancer Institute (OECI). The aim was first to describe how a gynecological (gyn) and breast cancer (bc) patient's access to care during their care pathway has occurred in Turku University Hospital (Tyks) Cancer Centre after receiving an admission note and secondly submit it to the electronic portrayal of patient care pathway for patients. Material and Methods The study was carried out VIII / 2015 - IX / 2016 in clinical information service unit and treatment units in Turku University Hospital (Tyks) in Finland. The target group was gyn (N=1549) and bc (N=945) patients starting their first cancer treatment. The data collection method was a retrospective registry study. The dates of appointments, phone calls, multidisciplinary meetings, treatment decisions and periods (surgery, radiotherapy, chemotherapy, other treatments) were carried out from WebMarela, Oberon and Aria information system entries. Access to care was analyzed from the admission note to the first treatment unit and to other care contact days. The results were analyzed by statistical methods (the mean time and the standard deviation figures). The accuracy of the results was verified by obtaining a review of experts from treatment units. The recommended time of access to cancer care of Ministry of Social Affairs and Health in Finland were taken into consideration. Results were presented quarterly and linked electrically internet sites to the portrayal of patient care pathway for patients. Results In total, access time for gyn patients (n=331) from the first admission note to first treatment unit (gyn surgery outpatient clinic) contact (first appointment) was 11 days (mean; quarterly range 10-12) and to surgery 28 days (mean; quarterly range 24-35) or to radiotherapy/chemotherapy 41 days (mean, quarterly range 39-43). Access time for bc patients (n=661) from the first admission note to first treatment unit (breast surgery outpatient clinic) contact (phone call) was 4 days (mean, quarterly range 2-5), to appointment 14 days (mean; quarterly range 10-15) and to surgery 27 days (mean; quarterly range 21-33) or to radiotherapy/chemotherapy 20 days (mean; n=1). Guarterly, access to care for gyn patients was highest at second quarter 2015 and 2016, and for bc patients increased linearly from first quarter 2015 to third quarter 2016. The increase was not depend on number of patients. Conclusion A retrospective registry study could produce up to date information of cancer patients’ access to care. It also might increase patients’ knowledge of access to care during the care pathway. Further definition models should be produced of variables for management and the development of the cancer care.