Abstract
Abstract The reformation on the management strategy of patients led by medical institutions could show the real value of medical services and match the needs of both patients and physicians. A novel patient management strategy, the whole processing management mode, was developed in Department of Breast Surgery, Fudan University Shanghai Cancer Center. Based on the online tools, the e follow-up Wechat public platform, the department provides several humanistic medical services in every aspects of breast health management, such as education, screening and diagnosis, multi-disciplinary comprehensive treatment and follow-up, including the remote medical reports reading. After the application of the novel patient management mode, regular appointments before seeing doctors, triage on-demand are realized. Between Jun-2015 and March-2016, a total of 7,668 person-time patients made the reservation for chemotherapy and over two thousand patients made the reservation for endocrine therapy prescription through the online approach. The total volume of out-patient clinic was 169,246 person-time in 2015, gained a 26.8% increase compared with in 2014. However, the queuing time for consultation was deceased by 28.8% in 2015. The doctor-patient relationship is extended online and the follow-up rate is improved. Between Jun-2015 and December-2015, a total of 823 patients online submitted the medical reports during follow-up period, among those, four patients were found disease relapse or metastasis and were call back to the hospital for further treatment. The novel mode may promote the cooperation among the multi-disciplinary comprehensive treatment teams, realize the hierarchical medical system among the department, and provide guarantee for the clinical and basic research based on the principle of precision medicine. Citation Format: Chen J, Yu K, Liu G, Shao Z, Wu J. Development and application of whole processing management for patients with breast carcinoma: A novel management strategy for breast health [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr P3-11-06.
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