%0 English Abstract
%T [Needs assessment for the establishment of an Oral Therapy Unit].
%A Vazquez L
%A Coussirou J
%A Grenier J
%A Billemont B
%A Mege A
%A de Rauglaudre G
%A Stancu A
%A David C
%A Durand A
%A Decrozals F
%A Arnaud A
%J Bull Cancer
%V 110
%N 2
%D Feb 2023
%M 36411129
%F 1.318
%R 10.1016/j.bulcan.2022.10.005
%X BACKGROUND: Oncological at home-treatment improves patient quality of life and autonomy but requires close watchfulness of adverse events and compliance to treatment. For nearly ten years, pharmaceutical consultations for home-based anticancer oral therapies patients are proposed on medical request in Avignon-Provence Cancer Institute (ICAP). Organizational changes led us to modify this management by integrating dedicated nurses to create an Oral Therapy Unit (OTU).
METHODS: Needs and expectations assessment questionnaires were proposed to healthcare professionals and patients treated by oral therapies. The analysis of these questionnaires allows to set up an OTU, integrating a dedicated nurse, adapted to the expectations of patients and healthcare professionals. About 8 months later, a new evaluation was carried out to assess the impact of this new support for patient care and health professionals' organization.
RESULTS: The results of the studies carried out before OTU implementation highlight the importance of multi-professional support for patients from the start of treatment and during the follow-up. With the new OTU pathway, professionals expect a patient course improvement (94%), a better compliance (88%), a therapeutic accidents reduction (81%) and an improvement in the patient-caregiver relationship (69%). Regarding the organization, 56% of them are expecting to save medical and pharmaceutical time.
CONCLUSIONS: The OTU creation in our institution and these new multi-professionals' teams' management of patients has obtained a favourable opinion from healthcare professionals and patient satisfaction.