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Updated: Jun 3, 97 |
ECOLE/GRIP | |
| Telematics applications for development, dissemination and implementation of best cancer practice |
| Project Nr: | HC 1013 | Group: II | Project Duration: 30 months |
| Key words: | |||
| Category: | Research Transfer for Cancer Treatment | ||
| Summary: | This project is intended to improve transfer of cancer research findings into practice and treatment by using telematic applications on an collaborative European level. State of the art care for all patients with cancer in Europe is the final target. | ||
| Mission: | The purpose of ECOLE/GRIP is to transfer the latest findings in cancer research into routine clinical practice. Applied telematics will underpin concerted national and international reviews of ongoing research literature and the development and publication of clinical guidelines. Project results are expected to include an internationally validated methodology for these activities, as well as a European database for literature reviews aimed at guidelines developers and the health care sector. Also planned are a cancer guidelines database and knowledge bases for electronic patient record and decision support systems. ECOLE-GRIP participates in the project cluster entitled: ACTION for Telematics Applications for Cooperative work of Healthcare Professionals. | ||
| URL: | www.acl.icnet.uk/lab/rteg_home.html | ||
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| Name of Institution | City+Postal Code | Country | Region |
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| MARI Computer Systems Ltd. | Boldon, NE35 9PE | GB | UK13 |
| Clinical Information Science Unit, University of Leeds | Leeds, LS2 9NZ | GB | UK24 |
| Agence Nationale pour le Développement de lEvaluation Médicale | Paris, 75013 | France | FR1 |
| Deutche Krebsgesellschaft e.V. | Frankfurt, D-60596 | Germany | DE92 |
| Istituto Nazionale per lo Studio e la Cura dei Tumori | Milan, 20133 | Italy | IT2 |
| Verening van Integrale Kankercentra | Utrecht, DA 3501 | Netherlands | NL31 |
| Institut National de la Santé et de la Recherche Médicale | Paris, 75654 | France | FR1 |
| The Italian Cochrane Centre (Istituto di Ricerche Farmacologiche Mario Negri) | Milan, 20157 | Italy | IT2 |
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Guidelines and protocols are increasing in importance throughout clinical practice. From primary care to specialist care, there is growing recognition of the existence of avoidable and potentially unacceptable delays in the implementation of research findings into routine care, and of variations in the quality of treatment for similar conditions across different European countries. Indeed, it has been established that the implementation of state-of-the-art practice in he routine care of cancer patients could achieve a 10% decrease in mortality within a decade.
The main goal of ECOLE/GRIP is to enable state-of-the-art research findings to be transferred into routine clinical practice. Concentrating on the field of cancer care, the project will develop telematics tools and services to enable national and international collaborative literature reviews and clinical guidelines development. Clinical experts will test and validate these tools and produce high quality, internationally validated literature reviews and hypermedia guidelines databases. Applications will be developed using the latest technologies including the Internet and the World Wide Web to maximise dissemination potential in the form of hypermedia databases accessible either on line or via CD-ROM. Applications will be designed to support collaborative groups in all phases of the cancer knowledge production and dissemination life-cycle from collection of evidence, analysis, review and reporting of critical literature, consensus forming, guidelines development and dissemination. To maximise uptake of best available knowledge, electronic versions of cancer guidelines will be integrated with clinical workstation technology to enable access to patient data, decision support in patient management, and guidance in collection of clinical data for clinical audit, quality assessment and epidemiological research. This latter work will be undertaken in collaboration with other Health Telematics projects, particularly PROMPT. Applications will be developed to conform with standards in medical terminology, knowledge representation, electronic publishing and network interoperability. Methods, tools, and services will be designed to be generic and so applicable to a number of clinical areas including primary care, in which they will be tested.
ECOLE/GRIP results will include
The ECOLE/GRIP consortium comprises five European national cancer organisations with wide experience in collaboratively reviewing cancer literature and developing guidelines; technical organisations experienced in the development of workgroup networking applications, information engineering, pharmaceutical, industrial and publishing companies who will participate in the specification, validation and exploitation of project methods, tools and services. Pilot and demonstration sites will include Euro-wide and national cancer organisation networks, and regional health information networks involving oncologists, general practitioners and home care organisations.
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Users involved Primary care physicians, oncologists, specialists, primary care and hospital nurses; cancer organisations; network operators, database providers and publishers, clinical protocol authors. Technologies and/or approach used Telematics services and tools for (i) collaborative work on cancer literature and guidelines, (ii) guideline dissemination and use. Multimedia databases for the dissemination of best cancer knowledge accessible over telematics networks (inc. WWW) or CD-ROM. Expected benefits for the citizen Provision of more consistent, high quality healthcare based on best clinical practice (state-of-the-art guidelines and protocols) made possible by the wide dissemination of authoritative information on cancer and cancer care. Expected benefits for the users of the application Provision of state-of-the-art guidelines and protocols representing best clinical practice. Tools and services to facilitate Euro-wide guidelines authoring and literature reviews. Technology will enable: literature searches, co-operative editing and reviewing, cost effective dissemination and maintenance of literature. Expected benefits for the European Industries ECOLE/GRIP will be involved in development of services and tools to help meet the rising demand for new software and telematics products for healthcare, including medical knowledge, guidelines databases. Contribution to EU-policies ECOLE/GRIP will be involved in the development of healthcare telematics services and tools so will be supporting the development of healthcare networks (stressed in the Bangermann report), and emergent European new technology industries. ECOLE/GRIP will be supporting the Health Telematics programme mainly in the following areas:
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| Deutsche Krebsgesellschaft | Frankfurt | Darmstadt | DE |
| Istituto Nazionale per lo Studio e la Cura dei Tumori | Milan | Lombardia | IT |
| Verening van Integrale Krankercentra | Utrecht | Utrecht | NL |
| Institut National de la Santé et de la Recherche Médicale | Paris | Ile de France | FR |
| Université de Bordeaux II | Bordeaux | Aquitaine | FR |
| Union Régionale des Médecins Libéraux d'Aquitaine | Bordeaux | Aquitaine | FR |
| Association des Sociétés Nationales Européenes et Mediterranéenes de Gastroentérologie | Thessaloniki | Kentriki Makedonia | GR |
| Centre Alexis Vautrin | Vanduvre-les-Nancy | FR | |
| Centre Antoine Lacassagne | Nice | Provence-Alpes Cote d'Azur | FR |
| Centre Claudius Regaud | Toulouse | Midi-Pyrénées | FR |
| Centre Francois Baclesse | Caen | Basse-Normandie | FR |
| Centre Léon Bérard | Lyon | Rhône-Alpes | FR |
| Institut Bergonié | Bordeaux | Aquitaine | FR |
| Institut Gustave Roussy | Villejuif | Ile de France | FR |
| European Organisation for Research and Treatment of Cancer | London | Greater London | UK |
| Centro Nazionale per l'Applicazione delle Biotechnologie in Oncologia | Venice | Veneto | IT |
| Instituto di Ricovero e Cura a carattere Scientifico San Matteo | Pavia | Lombardia | IT |
| Instituto Nazionale per la Ricerca sul Cancro | Genova | Liguria | IT |
| European School of Oncology | Milan | Lombardia | IT |
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