Service utilisation plan
cancer, tumour
CANCER, TUMOUR
Based on the reports of the professional service providers and the patient descriptions of the information about the isPO OG service, it appears that in care network 4, the voluntary service was not understood correctly and not perceived as an integral part of the isPO care programme. The particularly low utilisation rate also indicates this. Identified misunderstandings referred, for example, to the fact that matching a patient and isPO OG with the same tumour entity is not intended since the aim is to pass on information relevant to all newly diagnosed cancer patients. Patients’ understanding of a complex intervention is considered a ‘prerequisite for decision-making’ (Buhse and Mühlhausen Since the attitude towards a complex intervention is a relevant implementation factor (Grimshaw et al. Almost all other age groups had a significantly higher chance of utilising the isPO OG consultation than 18–29-year-olds. However, this age group is only represented to a very small extent in the sample. Another reason is that young adults may have specific questions and needs (Zebrack et al. Patients with tumour entities with a significantly lower probability of using the isPO OG service were treated almost exclusively in care network 1. In this hospital, patients with particularly complex and demanding cases are treated. Moreover, it has a large coverage area and short lengths of stay, which may lead to patients being unable to use the isPO OG service depending on distance and mobility. An extension of the service to local outpatient options such as cancer counselling centres and online support via an app could be supportive.The Within the four care networks, we identified different implementation and normalisation processes caused by varying resources for the organisation and coordination of the isPO OG consultations. When a corresponding infrastructure was expanded, the coordination lines between the isPO OGs and the professional service providers were jointly experienced and adapted where necessary. These interactions and optimisation attempts led to a maturation of the isPO OG service as an integral part of the isPO care provision. If resources were low, the required processes were considered burdensome. In these care networks, the proportion of conversations conducted by an isPO case manager instead of a peer service provider is significantly higher. This demonstrates that implementation factors like ‘resource availability’ and ‘organisational change’ are interrelated (Vaishnavi et al. 