6533b7dbfe1ef96bd126ffaf
RESEARCH PRODUCT
Psycho‐oncological care of melanoma patients in certified skin cancer centers
Jürgen M. GieslerDorothee NashanJoachim WeisKatrin ReuterCarmen LoquaiFrank Meisssubject
medicine.medical_specialtyCertificationSkin NeoplasmsPsycho-Oncologymedicine.medical_treatmenteducationMEDLINEDermatologyCertification030207 dermatology & venereal diseases03 medical and health sciences0302 clinical medicineGermanymedicineHumansScreening toolQuality of careMelanomaProcess qualitybusiness.industrymedicine.diseasehumanitiesstomatognathic diseases030220 oncology & carcinogenesisFamily medicineSkin cancerbusinessCrisis interventiondescription
Background The establishment und certification of skin cancer centers (SCCs) in compliance with requirements issued by the German Cancer Society play a key role for quality-assured treatment of skin cancer patients. These requirements also call for the implementation of a qualified psycho-oncology program. When planning the present study, we assumed site-specific differences in the way such programs were implemented at various SCCs. Methods In 2014, we conducted a cross-sectional survey of all SCCs certified at the time (n = 43), in which these institutions were asked to provide information on the structural and process quality of their psycho-oncology programs. Results Overall, 81.4 % of certified SCCs (n = 35) participated in the survey. Thirty-seven percent of SCCs directly employed personnel trained in psycho-oncology. Nearly all facilities offered information/counseling, crisis intervention, one-on-one discussions, and palliative/end-of-life care as part of their psycho-oncology program. Standardized screening tools were commonly used to evaluate patients' need for psycho-oncological support. Eighty-three percent of psycho-oncology programs primarily focused on inpatients. On average, 25.2 % of melanoma patients received psycho-oncological support. Ninety-seven percent of SCCs stated that the certification requirements had actually improved the psycho-oncological care of their patients. Seventy-one percent of SCCs reported to be satisfied with the implementation of the requirements. Conclusions The certification of institutions as SCCs has led to the implementation of personnel, structural, and content requirements relating to psycho-oncological care. The majority of SCCs surveyed reported to be satisfied with the quality of care thus achieved.
year | journal | country | edition | language |
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2017-05-25 | JDDG: Journal der Deutschen Dermatologischen Gesellschaft |