title: [Professional's expectations to improve quality of care and social services utilization in geriatric oncology].
abstract: BACKGROUND
  Coordination of a multidisciplinary and multi-professional intervention is a key issue in the management of elderly cancer patients to improve health status and quality of life. Optimizing the links between professionals is needed to improve care planning, health and social services utilization.
  
  
  METHODS
  Descriptive study in a French University Hospital. A 6-item structured questionnaire was addressed to professionals involved in global and supportive cares of elderly cancer patients (name, location, effective health care and services offered, needs to improve the quality of their intervention). After the analysis of answers, definition of propositions to improve cares and services utilization.
  
  
  RESULTS
  The 37 respondents identified a total of 166 needs to improve quality of care in geriatric oncology. Major expectations were concerning improvement of global/supportive cares and health care services utilization, a better coordination between geriatric teams and oncologists. Ten propositions, including a model of in-hospital health care planning, were defined to answer to professional's needs with the aim of optimizing cancer treatment and global cares.
  
  
  CONCLUSIONS
  Identification of effective services and needs can represent a first step in a continuous program to improve quality of cares, according to the French national cancer plan 2014-2019. It allows federating professionals for a coordination effort, a better organization of the clinical activity in geriatric oncology, to optimize clinical practice and global cares.
authors: CHU Carémeau, service de médecine interne gériatrique, place Robert-Debré, 30000 Nîmes, France. Electronic address: valery.antoine@chu-nimes.fr.
authors: Valéry
authors: V
authors: Antoine
authors: CHU Carémeau, service de médecine interne gériatrique, place Robert-Debré, 30000 Nîmes, France.
authors: Benoît
authors: B
authors: de Wazières
authors: CHU Carémeau, service d'oncologie médicale, place Robert-Debré, 30000 Nîmes, France.
authors: Nadine
authors: N
authors: Houédé
mesh_terms: D000368:Aged; D005602:France; D005853:Geriatrics; D019538:Health Care Surveys; D006304:Health Status; D006785:Hospitals, University; D006801:Humans; D007400:Interprofessional Relations; D008495:Medical Oncology; D020380:Needs Assessment / Q000706:statistics & numerical data*; D009369:Neoplasms / Q000628:therapy*; D058996:Quality Improvement; D011787:Quality of Health Care; D011788:Quality of Life; D011795:Surveys and Questionnaires
keywords: Cancer; Care coordination; Comprehensive geriatric assessment; Coordination des soins; Elderly cancer patient; Geriatric oncology; Oncogériatrie; Patient âgé; Évaluation gériatrique standardisée