Case managers in oncology. A literature review

Authors

  • Ludovica Schiavone Dipartimento di Giurisprudenza, Università degli Studi di Milano – Bicocca, Milano
  • Veronica Pegoraro Centro Governance and Social Innovation (GSI), Fondazione Ca’ Foscari, Venezia Dipartimento di Economia, Università Ca’ Foscari, Venezia
  • Francesca Dal Mas Dipartimento di Management, Università Ca’ Foscari, Venezia
  • Maristella Zantedeschi Centro Governance and Social Innovation (GSI), Fondazione Ca’ Foscari, Venezia Dipartimento di Economia, Università Ca’ Foscari, Venezia
  • Stefano Campostrini Centro Governance and Social Innovation (GSI), Fondazione Ca’ Foscari, Venezia Dipartimento di Economia, Università Ca’ Foscari, Venezia
  • Lorenzo Capobianchi Dipartimento di scienze clinico-chirurgiche, diagnostiche e pediatriche, Università degli Studi di Pavia, Pavia. Chirurgia Generale 1, IRCCS Policlinico San Matteo, Pavia ITIR – Institute for Transformative Innovation Research, Università degli Studi di Pavia, Pavia.
  • Gianpaolo Balzano Chirurgia del Pancreas, Pancreas Translational & Clinical Research Center, IRCCS San Raffaele, Milano

Keywords:

Case manager; oncology; disease units; organizational models; literature review

Abstract

Objective: Modern healthcare systems are constantly looking for new organizational models to answer patients' needs. In the oncology field, the organizational model based on Disease Units is becoming established. These systems see the patient at the center and are based on multidisciplinary collaboration between healthcare professionals. In the context of the Disease Units, there should be a professional figure in the nursing field called a case manager, with the role of supporting coordination between the various professionals in charge and guiding the patient in the treatment process. The objective of the work is to understand in depth the context, characteristics, advantages, and barriers to the establishment of this figure.

Methodology: The article uses a structured review of international literature.

Results: The analysis of 19 articles denotes the need for the case manager to acquire both technical but above all, non-technical skills, such as kindness, humor, and empathy. Results highlight the strategic role of this figure in supporting the patient, especially in improving the quality of life, in adherence to treatment and in the management of the psychological and social sphere, thus strengthening the concept of a healthcare system that sees the patient in the center. Although there are obstacles to the formal establishment of this figure, regulatory changes should be carried out in the coming years to encourage the introduction of case managers within the Disease Units.

Originality: The article aims to analyze the characteristics of this professional figure in oncology, whose role is presumed to become increasingly strategic over time.

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References

Admi, H., Muller, E., Ungar, L., Reis, S., Kaffman, M., Naveh, N. and Shadmi, E. (2013), “Hospital-community interface: a qualitative study on patients with cancer and health care providers’ experiences.”, European Journal of Oncology Nursing : The Official Journal of European Oncology Nursing Society, Scotland, Vol. 17 No. 5, pp. 528–535.

Balzano, G., Guarneri, G., Pecorelli, N., Paiella, S., Rancoita, P.M. V, Bassi, C. and Falconi, M. (2020), “Modelling centralization of pancreatic surgery in a nationwide analysis.”, The British Journal of Surgery, England, Vol. 107 No. 11, pp. 1510–1519.

Balzano, G., Guarneri, G., Pecorelli, N., Reni, M., Capurso, G. and Falconi, M. (2021), “A four-step method to centralize pancreatic surgery, accounting for volume, performance and access to care.”, HPB : The Official Journal of the International Hepato Pancreato Biliary Association, England, Vol. 23 No. 7, pp. 1095–1104.

Bednarova, R., Biancuzzi, H., Rizzardo, A., Dal Mas, F., Massaro, M., Cobianchi, L., Barcellini, A., et al. (2020), “Cancer Rehabilitation and Physical Activity: the ‘Oncology in Motion’ Project.”, Journal of Cancer Education : The Official Journal of the American Association for Cancer Education, England, available at:https://doi.org/10.1007/s13187-020-01920-0.

Biancuzzi, H. and Lombrano, A. (2021), “L’hybrid management nel processo di ammodernamento della pubblica amministrazione . I risultati di una revisione strutturata della letteratura”, Politiche Sanitarie, Vol. 22 No. 2, pp. 1–8.

Browall, M., Mijwel, S., Rundqvist, H. and Wengström, Y. (2018), “Physical Activity During and After Adjuvant Treatment for Breast Cancer: An Integrative Review of Women’s Experiences.”, Integrative Cancer Therapies, Vol. 17 No. 1, pp. 16–30.

Brown, C., Cantril, C., McMullen, L., Barkley, D., Dietz, M., Miller Murphy, C. and Fabrey, L. (2012), “Oncology Nurse Navigator Role Delineation Study”, Clinical Journal of Oncology Nursing, Vol. 16 No. 6, pp. 581–585.

Callahan, R.R. (1999), “Patient Care Coordination of Adult Oncology Patients in Home Health”, Home Health Care Management & Practice, SAGE Publications Inc, Vol. 11 No. 3, pp. 33–40.

Cobianchi, L., Dal Mas, F., Denicolai, S., Previtali, P. and Venturi, A. (2023), “Editorial: New frontiers in pancreatic cancer care: Multidisciplinary approaches, the role of Pancreas Units, and their organizational impacts ”, Frontiers in Surgery , available at: https://www.frontiersin.org/articles/10.3389/fsurg.2023.1182206.

Crane-Okada, R. (2013), “Evaluation and outcome measures in patient navigation.”, Seminars in Oncology Nursing, United States, Vol. 29 No. 2, pp. 128–140.

Farzi, S., Taleghani, F., Yazdannik, A. and Esfahani, M.S. (2022), “Communication culture in cancer nursing care: an ethnographic study.”, Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, Germany, Vol. 30 No. 1, pp. 615–623.

Gilbert, J.E., Green, E., Lankshear, S., Hughes, E., Burkoski, V. and Sawka, C. (2011), “Nurses as patient navigators in cancer diagnosis: review, consultation and model design.”, European Journal of Cancer Care, England, Vol. 20 No. 2, pp. 228–236.

Grob, S., Bläuer, C. and Frei, I.A. (2017), “Women’s experiences of nurse case management on a gynaecological oncology unit in a Swiss tertiary hospital. A thematic analysis.”, Scandinavian Journal of Caring Sciences, Sweden, Vol. 31 No. 4, pp. 814–821.

Hart, C. (1998), Doing Literature Review: Releasing the Social Science Research Imagination, Sage Publications, London, UK.

Horlait, M., De Regge, M., Baes, S., Eeckloo, K. and Leys, M. (2022), “Exploring non-physician care professionals’ roles in cancer multidisciplinary team meetings: A qualitative study.”, PloS One, United States, Vol. 17 No. 2, p. e0263611.

Johnson, S.A., Giesie, P.D., Ireland, A.M., Rice, R.D. and Thomson, B.K. (2016), “On the Scene: Developing a Nurse Care Coordinator Role at City of Hope.”, Nursing Administration Quarterly, United States, Vol. 40 No. 1, pp. 39–50.

Kalager, M., Haldorsen, T., Bretthauer, M., Hoff, G., Thoresen, S.O. and Adami, H.O. (2009), “Improved breast cancer survival following introduction of an organized mammography screening program among both screened and unscreened women: A population-based cohort study”, Breast Cancer Research, Vol. 11 No. 4, pp. 1–9.

Kelly, K.J., Doucet, S. and Luke, A. (2019), “Exploring the roles, functions, and background of patient navigators and case managers: A scoping review”, International Journal of Nursing Studies, Vol. 98, pp. 27–47.

De Luca, E. and Sena, B. (2021), “Searching for a professional identity: a qualitative study of the oncology nurses role in a multidisciplinary breast-unit team.”, Acta Bio-Medica : Atenei Parmensis, Italy, Vol. 92 No. S2, p. e2021506.

Magnani, T., Bracarda, S., D’Angelillo, R.M., Artibani, W., Barni, S., Beretta, G., Brausi, M., et al. (2019), “Multidisciplinary teams for the proper management of patients with genitourinary tumors: When topics set scientific societies’ agenda.”, Tumori, United States, Vol. 105 No. 2, pp. 161–167.

Massaro, M., Dumay, J.C. and Guthrie, J. (2016), “On the shoulders of giants: Undertaking a structured literature review in accounting”, Accounting, Auditing and Accountability Journal, Vol. 29 No. 5, pp. 767–901.

Miceli, L., Bednarova, R., Biancuzzi, H. and Garlatti, A. (2019), “Nascita di un percorso riabilitativo in un Irccs oncologico del Friuli-Venezia Giulia: ‘Oncology in motion’”, Politiche Sanitarie, Vol. 20 No. 2, pp. 89–95.

Mittring, N., Pérard, M. and Witt, C.M. (2013), “Corporate culture assessments in integrative oncology: a qualitative case study of two integrative oncology centers.”, Evidence-Based Complementary and Alternative Medicine : ECAM, United States, Vol. 2013, p. 316950.

Olsen, P.R. and Bradbury-Jones, C. (2013), “Using a knowledge utilization framework to explore how findings from one study can be applied to other nursing contexts.”, International Nursing Review, England, Vol. 60 No. 3, pp. 381–388.

Page, M.J., McKenzie, J.E., Bossuyt, P.M., Boutron, I., Hoffmann, T.C., Mulrow, C.D., Shamseer, L., et al. (2021), “The PRISMA 2020 statement: an updated guideline for reporting systematic reviews”, BMJ, BMJ Publishing Group Ltd, Vol. 372, available at:https://doi.org/10.1136/bmj.n71.

Palumbo, R. (2016), “Contextualizing co-production of health care: a systematic literature review”, edited by Lars Tummers Prof. Yvonne Brunetto, Dr, P.S.T.International Journal of Public Sector Management, Emerald Group Publishing Limited, Vol. 29 No. 1, pp. 72–90.

van der Plas, A.G.M., Francke, A.L., Deliens, L., Jansen, W.J.J., Vissers, K.C. and Onwuteaka-Philipsen, B.D. (2016), “Informal care givers’ experiences with support in primary palliative care when a case manager is involved: A descriptive study in the Netherlands”, International Journal of Care Coordination, SAGE Publications, Vol. 20 No. 1–2, pp. 17–25.

Previtali, P., Dal Mas, F., Denicolai, S. and Biancuzzi, H. (2021), “L’esternalizzazione della logistica sanitaria e ospedaliera. Una revisione della letteratura”, Politiche Sanitarie, Vol. 21 No. 4.

Previtali, P., Dal Mas, F., Denicolai, S., Venturi, A., Campostrini, S., Cogliati, P.G. and Colombo, E. (2022), “Verso la rete regionale lombarda di Pancreas unit. Un possibile modello organizzativo analizzato attraverso il metodo Delphi”, Politiche Sanitarie, Vol. 23 No. 3, pp. 115–129.

Prisma Statement. (2021), “Prisma Transparent Reporting of Systematic Reviews and Meta Analysis”, available at: http://www.prisma-statement.org/ (accessed 23 May 2021).

Smith, H.R. (2015), “Depression in cancer patients: Pathogenesis, implications and treatment (Review).”, Oncology Letters, Greece, Vol. 9 No. 4, pp. 1509–1514.

Vahedi Nikbakht-Van de Sande, C.V.M., Braat, C., Visser, A.P., Delnoij, D.M.J. and van Staa, A.L. (2014), “Why a carefully designed, nurse-led intervention failed to meet expectations: The case of the Care Programme for Palliative Radiotherapy”, European Journal of Oncology Nursing, Vol. 18 No. 2, pp. 151–158.

Walker, J. and Sharpe, M. (2009), “Depression Care for People with Cancer: a collaborative care intervention.”, General Hospital Psychiatry, United States, Vol. 31 No. 5, pp. 436–441.

Wittenberg-Lyles, E., Goldsmith, J., Oliver, D.P., Demiris, G. and Rankin, A. (2012), “Targeting communication interventions to decrease caregiver burden.”, Seminars in Oncology Nursing, United States, Vol. 28 No. 4, pp. 262–270.

Zhang, Y., Zou, W., Wu, X., Wang, X., Zhang, M., Wu, X., Qin, H., et al. (2022), “Effect of hospital-based case management on psychosocial wellbeing and treatment outcomes in colorectal cancer patients: A quasi-experimental study”, International Journal of Nursing Practice, John Wiley & Sons, Ltd, Vol. 28 No. 6, p. e13104.

Published

2023-12-05

How to Cite

Schiavone, L., Pegoraro, V., Dal Mas, F., Zantedeschi, M., Campostrini, S., Capobianchi, L., & Balzano, G. (2023). Case managers in oncology. A literature review. European Journal of Volunteering and Community-Based Projects, 1(4), 1-22. Retrieved from https://pkp.odvcasarcobaleno.it/index.php/ejvcbp/article/view/85