Ontology type: schema:Chapter
2016
AUTHORSFlorian Kron , Andreas Bernschein , Anna Kostenko , Jürgen Wolf , Michael Hallek , Jan-Peter Glossmann
ABSTRACTThe medical and economic impact of cancer is a major challenge for hospitals in every country. Comprehensive cancer centers (CCC) are at the forefront to fight cancer. From an organizational perspective these large centers are highly complex. They combine patient-oriented cancer care with basic, translational and population-based cancer research. These centers cannot operate as stand-alone organizations but rely on cooperation in a network of hospitals and office-based physicians. The medical progress in recent years—which is often referred to as personalized or precision medicine—comes with hope for patients but also with diagnostic, organizational and financial challenges. Especially clinical trials are time-consuming and costly but indispensable being the backbone of treatment progress. A growing economic pressure results from a policy of increased competition on the one hand and a strict separation of ambulatory and inpatient care on the other hand. In this article we discuss the challenges and opportunities from the perspective of the Center for Integrated Oncology (CIO) Köln Bonn which is one of the largest CCCs in Germany. The political, scientific and economic challenges and opportunities are described as well as possible solutions including practical experience. More... »
PAGES21-40
Boundaryless Hospital
ISBN
978-3-662-49010-5
978-3-662-49012-9
http://scigraph.springernature.com/pub.10.1007/978-3-662-49012-9_2
DOIhttp://dx.doi.org/10.1007/978-3-662-49012-9_2
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