Leaving the hospital

At the end of treatment, each patient is offered a follow-up program based on the physician's recommendations.   In most cases, this consists of scheduling appointments and/or examinations. Follow-up visits are initially frequent, but then become less so. Patients can be followed up at the Institute or in another hospital. When the follow-up takes place at the IUCT Oncopole, suggested appointments are sent to patient homes by post. When discharged, patients may be sent:

• Home

• Home with help (to be assessed by the physician): see the social workers and your primary care physician

• Home with the support of a care network (depending on the geographic location)

• Home with home hospitalization: prior assessment during hospitalization

• A convalescence center: continuing care center, rehabilitation center

• A medium- or long-term care hospital

• A palliative care unit

Administrative procedures

The administrative procedures relating to instructions are coordinated by social workers, and/or the unit manager and/or the bed manager (person in charge of hospitalization requests).
The bed manager is responsible for managing unplanned hospitalization requests and organizing patient transfers to suitable structures, working with oncologists and unit managers. Continuing care and rehabilitative care requests, along with home hospitalization requests, are made using the ‘Via trajectoire'* software based on the secure transmission of data and a directory that lists all the continuing care and rehabilitative care and home hospitalization structures in the region.

*set up by the Midi-Pyrénées Regional Health Agency (ARS) .

Useful contact numbers

When discharged, the team provides patients with all the telephone numbers that may be useful.