The role of modern information and communication technology in improving transmural oncological care concerning head and neck cancer patients

Abstract

Objective. Previous studies in head and neck cancer patients have shown a need to improve transmural oncological care. 1 The aim of the Transmural Oncological Support (TOS) project is to investigate whether this can be achieved using information and communication technology (ICT). Materials and methods. Baseline measurements were followed by an intervention study in three categories of head and neck cancer patients. An information system was developed and implemented and then evaluated. Results. Based on previous research the functionality of the information system was determined. The four main functions were: communication, information, contact with fellow sufferers and the monitoring of patients. After discharge, patients will have a lap top at their disposal for several weeks in their home environment. Both patients and care providers can communicate electronically directly with a hospital-based support team and can consult information. Likewise, patients can communicate with fellow sufferers, and they will be monitored from hospital, thus enabling the early detection of possible problems and complications in the home environment. Assessing the influence on patients' physical and psychosocial functioning is part of the evaluation. Conclusion. An information system was developed which took into account previously observed bottlenecks. Consequently, it was possible to measure the effect of transmural oncological care on head and neck cancer patients.