Integrated care pathway for breast cancer: A relational and geographical approach

被引：9

作者：

Meriade, Laurent ^{[1
]}

Rochette, Corinne ^{[1
]}

机构：

[1] Clermont Auvergne Univ, IAE Sch Management, Res Chair Hlth & Terr, CleRMa, 11 Blvd Charles de Gaulle, F-63000 Clermont Ferrand, France

来源：

SOCIAL SCIENCE & MEDICINE | 2021年 / 270卷

关键词：

Care pathway; Integrated care; Spatial approach; Mixed method; Breast cancer; France;

D O I：

10.1016/j.socscimed.2020.113658

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This paper examines how to apply a spatial approach (relational and geographical) to care pathways for their better integration within their territories. Based on the case study of a senology department of a French Cancer Diagnosis, Treatment and Research Centre, we apply a mixed research methodology using qualitative data (synthesis documents, meeting minutes, in-depth interviews) and quantitative data relating to the mobility and geographical location of a cohort of 1798 patients treated in this centre. Our results show the inseparable nature of the relational dimension and the geographical approach to move towards greater integration of breast cancer care pathways. This inseparability is constructed from the proposal of a method for mapping the integrated care pathways in their territories. This method, applied to our case study, allows us to identify four main categories of pathways for the cohort of patients studied.

引用

页数：11

共 58 条

[1] Lost in translation? 'Evidence' and the articulation of institutional logics in integrated care pathways: from positive to negative boundary object? [J].