Care pathway
|
Intake
|
Referral
|
1
|
Suspicion ‘malignity’ at intake not sufficient
|
9
|
Patient related
|
2
|
Waiting on family home caregiver
|
3
|
3
|
Co-morbid or complex patient
|
9
|
Diagnostic procedures and logistics
|
Throughput time
|
6
|
More attention to cooperation between disciplines to combine patient appointments
|
6
|
13
|
Control/logistics control lies with gate specialist or ‘core specialist’
|
6
|
8
|
Treatment of dental foci under anaesthesia
|
2
|
Waiting time
|
17
|
Waiting time Radiology
|
3
|
18
|
Waiting time Nuclear Medicine
|
2
|
Treatment and planning
|
Preparation
|
4
|
For pre-surgery assessment the treatment must be known, that is possible when staging of tumour is ready
|
3
|
Choice
|
14
|
Choice for treatment on basis of general health assessment
|
1
|
12
|
Scientific Research increases number of hospital visits
|
2
|
Planning
|
5
|
Planning reconstruction costs extra time
|
5
|
7
|
Planning capacity operation centre versus ‘examination under anaesthesia’- scopy
|
5
|
11
|
Reconciliation of patient on chemo-radiotherapy
|
8
|
Standardizing
|
16
|
Unclear starting moment waiting time chemo-radiotherapy, separate standard ‘Nederlandse Vereniging voor Radiotherapie en Oncologie’ (Dutch Association Radiotherapy and Oncology)
|
3
|
Case Management Diagnostic procedures and treatment
|
Transfer
|
10
|
Transfer of ‘core specialism’
|
1
|
Information
|
9
|
No management information on throughput times in electronic patient dossier
|
3
|
15
|
No standard patient tracking system
|
4
|
Registration
|
19
|
Registration information not clear
|
1
|
Total quotations 37
|
76
|