Authors' objectives: The increasing incidence and prevalence of cancer, particularly breast cancer, present substantial challenges for the Austrian healthcare system. The current hospital-centred care delivery model contributes to escalating costs and suboptimal resource utilisation.

Authors' results and conclusions: Analysis of healthcare infrastructures and cross-sectoral care approaches throughout the patient journey identified three distinct models: centralised specialist models (AT, BE, DK) characterised by highly specialised centres with strict volume requirements; decentralised care (DE) featuring distributed hospital structures in the in- and outpatient setting; and network-based integrated care (NL, SE) combining specialist centres with regional care delivery. These models demonstrate considerable variations in their utilisation of inpatient, outpatient, and home-based care services. While these models reflect varying degrees of centralisation and specialisation, they all aim to ensure high-quality care through regulation, accreditation and collaboration, with countries combining elements of different models based on their national cancer strategy and healthcare infrastructure.

Authors' recommendations: For Austria, implementing a gradual transition towards a more decentralised or network-based model could potentially alleviate pressure on hospital resources while enhancing quality of care. However, successful implementation necessitates an appropriate infrastructure, qualified healthcare professionals, and effective cross-sectoral coordination. Key challenges include addressing workforce shortages and overcoming fragmented data integration across healthcare sectors.

Authors' methods: A comprehensive analysis of cancer care models across six European countries (Austria [AT], Germany [DE], Denmark [DK], Sweden [SE], Netherlands [NL] and Belgium [BE]) was conducted by means of a structured literature review, expert consultations (n=17), and data synthesis, focusing specifically on breast cancer care.

Project Status: Completed

URL for project: https://aihta.at/page/versorgung-onkologischer-patient-innen-am-beispiel-brustkrebs-patient-innenpfade-versorgungsstrukturen-und-leistungserbringung-in-ausgewaehlten-europaeischen-laendern/en

Year Published: 2024

URL for published report: https://eprints.aihta.at/1545/1/HTA-Projektbericht_Nr.162.pdf

URL for additional information: https://eprints.aihta.at/1545/

English language abstract: An English language summary is available

Publication Type: Full HTA

Country: Austria

Organisation Name: Austrian Institute for Health Technology Assessment

Contact Address: Josefstaedter Strasse 39, A-1080 Vienna, Austria

Contact Name: office@aihta.at

Contact Email: office@aihta.at