Designing a promising way towards better (colorectal) cancer care in Dijklander Ziekenhuis

Designing a promising way towards better (colorectal) cancer care in Dijklander Ziekenhuis

Heddes, Jolien (TU Delft Industrial Design Engineering)

Dehli, Silje (mentor)
Simonse, LWL (mentor)
Blaauwgeers, H.G.T. (graduation committee)

Delft University of Technology

Strategic Product Design

2019-10-30

Cancer is a complex disease which requires interdisciplinary care. There are various developments ongoing within cancer care and its complexity. A task reallocation which is boosted by the government and new standards from SONCOS make it compulsory to have a fixed point of contact for cancer patients. Dijklander Ziekenhuis wants to introduce case management for cancer patients. Hereby, it is needed to investigate the needs and wishes of the patients and the caregivers and take into account the status quo and strategy of the hospital. Based on the research activities, the advise to Dijklander Ziekenhuis is to implement case management to prevent patients for referral and communication errors. At the same time it is advised to take a unique position by offering guidance throughout the treatment process and especially in the approach towards consults. This could be done by providing extra support, coaching and (informational) tools during the treatment process. This advise is transformed into a design of three deliverables. A care pathway, a Business Case and an Implementation Manual. The new care pathway is designed in such a format that it gives substance to the future vision of the Cancer Centre. The modular format meets the wishes to deliver bespoke and patient-centred care while expertise is retained and the overall process is monitored due to the new module within the pathway: the bridge. The care pathway also can be a ‘secret weapon’ to be leading in cancer care due to the design in three layers what makes possible better communication towards patients. This is essential for shared decision making. With all these characteristics, the new Care Pathway appears to be a gold mine on the way to better (colorectal) cancer care within Dijklander Ziekenhuis. The Implementation Manual literally describes the promising way towards better (colorectal) cancer. The aim of the Implementation Manual is to transform the current Cancer Centre into the desired future Cancer Centre in which the new Care Pathway is integrated. There is chosen for a phased implementation approach including pilots. In this way, there is expected a minimal disruption to the patient care and possible problems can be resolved quickly. The Business Case is written to make sure that the preconditions that are necessary to work towards better (colorectal) cancer in Dijklander Ziekenhuis will be met. Preconditions were mainly budget and formation related. Within this study, it became clear that there are extra nurse specialists needed. On the other hand, relatively less medical specialists are needed.

care pathway design
Case management
business case
Implementation
Hospital
Care pathway
healthcare design

http://resolver.tudelft.nl/uuid:0d451cac-8eca-4445-b801-fa2331d21071

Student theses

master thesis

© 2019 Jolien Heddes