The administration of cytostatics is increasingly moving from clinics towards outpatients departments. As a result of this development, family doctors and home nurses have to deal with the side-effects of the chemotherapy. Due to the small number of patients per family doctor, it did not seem useful to organize educational programmes on cytostatics for the family doctors. Communication between the treater and the medical assistance in the direct neighbourhood of the patient becomes of considerable importance. Our project is focussed on the communication problems between hospital and family doctor, which are based on insufficient exchange of information. On 40 of the most commonly used cytostatics, information leaflets were designed, in which action, side-effects and interaction are recorded. On the back of each card advice is given on how to deal with the most common side effects; a telephone number is added in case there are any questions. At the start of the cytostatic therapy the nurse in the outpatients department sends the information leaflets, which are patient-bound, to the family doctor. For the patients a cytostatics-passport was designed, in which the name and the main side-effects that require medical assistance of the chemotherapy-scheme is given. After evaluation the cytostatics information programme was implemented in all the outpatients departments (10) in our region (1.2 million inhabitants). The programme was also offered to the other comprehensive cancer centres. It is now being used in almost 35 hospitals throughout the country. The administration of cytostatics is increasingly moving from clinics towards outpatients departments. As a result of this development, family doctors and home nurses have to deal with the side-effects of the chemotherapy. Due to the small number of patients per family doctor, it did not seem useful to organize educational programmes on cytostatics for the family doctors. Communication between the treater and the medical assistance in the direct neighbourhood of the patient becomes of considerable importance. Our project is focussed on the communication problems between hospital and family doctor, which are based on insufficient exchange of information. On 40 of the most commonly used cytostatics, information leaflets were designed, in which action, side-effects and interaction are recorded. On the back of each card advice is given on how to deal with the most common side effects; a telephone number is added in case there are any questions. At the start of the cytostatic therapy the nurse in the outpatients department sends the information leaflets, which are patient-bound, to the family doctor. For the patients a cytostatics-passport was designed, in which the name and the main side-effects that require medical assistance of the chemotherapy-scheme is given. After evaluation the cytostatics information programme was implemented in all the outpatients departments (10) in our region (1.2 million inhabitants). The programme was also offered to the other comprehensive cancer centres. It is now being used in almost 35 hospitals throughout the country.
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