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Table 1 Summary of the procedure and content of case management.

From: Case management in oncology rehabilitation (CAMON): The effect of case management on the quality of life in patients with cancer after one year of ambulant rehabilitation. A study protocol for a randomized controlled clinical trial in oncology rehabilitation




1st consultation

Assessment of needs: setting goals/measures according to standardised procedure (CM control system/self-management)

Provision of information Ambulant rehabilitation


Motivational counselling


Empathic conduct

Get to know patient, establish relationship, clinical recording of overall situation: symptoms, side effects of therapies, psychosocial situation and distress, impairment of quality of life. If required by patient: clarification on rehabilitation offered, contact person in case of queries and problems

2nd consultation

3rd consultation


Guidance based on targets &measures

Approach as above

'Define task/needs'

Develop 'program' in collaboration with patient. Counselling: dealing with symptoms etc. Arrange a therapists, services, e.g. Swiss Cancer League, via GP/oncologist: physiotherapy, nutritional advice, psycho-oncologist, if patient is unable to organise himself. Contact person in case of queries and problems

Telephone follow-up at least once per month for approx. 30 minutes during the first 6 months, afterwards reduction if needed. Availability of rehabilitation coaches if required/office hours

Evaluation, possibly new goals, planning

Approach as above

Summarising of outcomes, poss. summarise reports of therapists for patient, GP/oncologist. Counselling to encourage self- management. Contact person in case of queries/problems

4th consultation


Concluding interview