Case | Region | Focus | Patients / year | Start | Composition multidisciplinary group | Core staff |
---|---|---|---|---|---|---|
1 | 1 | Patients treated with a prostatectomy from first appointment with specialist till post-surgical control | 200 | 2005 | Representatives of hospital (n = 6) and all primary care services involved (n = 18) | Staff members of hospital, home care service and SELa, all members of core staff changed during project |
2 | 2 | Patients referred to specialist for prostatectomy till follow-up | 250 | 2005 | Representatives of hospital (n = 1) and primary care (n = 5) | Staff of a home care service |
3 | 2 | Initial period “follow-up for patients with breast cancer” changed into “from referral till second post-op consultation” | 200 | 2002 | Specialists (n = 3), general practitioners (n = 3) and a specialized nurse since September 2008 | 1. Staff member of hospital and researcher; 2. General practitioner and specialist |
4 | 3b | Surgical breast care patient from discharge from hospital till start of after treatment | 160 | 2006 | Representatives of hospital (n = 9) and primary care, including patient representatives (n = 16) | 1. Staff member of hospital and SELa; 2. Specialist, general practitioner and staff member of hospital |
5 | 4b | Surgical breast care patient from discharge from hospital till start of after treatment | 200 | 2006 | Representatives of hospital (n = 10) and primary care including patient representatives (n = 16) | Staff member of hospital and SELa |