Home delivery: chemotherapy and pizza?

doi:10.1136/bmj.322.7290.809

BMJ 2001;322:809-810 ( 7 April )

Editorials

Home delivery: chemotherapy and pizza?

Evidence on safety and acceptability of home chemotherapy is growing

Paper p 826

The first 150 words of the full text of this article appear below.

The past century has seen hospitals become the focus of the healthcare system despite attempts to shift the emphasis of careto the community. Most attempts to move complex and invasive proceduresout of hospital completely and into patients' homes remain marginal.One example of this is home chemotherapy, the subject of a randomisedtrial in this week's issue (p 826).¹

Home chemotherapy is a service that provides a package of care to support the administration of chemotherapy to patients intheir homes by specialist healthcare professionals (usually nurses).It may be distinguished from ambulatory chemotherapy, where patientsvisit the outpatient department to be connected to portable disposablepumps prefilled with cytotoxic drugs, which are then administeredvia a central venous catheter for 48 to 168 hours, and from dayhospital chemotherapy, where patients visit the hospital dailyto have their chemotherapyadministered.

In the United Kingdom home chemotherapy is chiefly . . . [Full text of this article]

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