Backgrounds Colorectal cancer remains a significant public health challenge in Vietnam, ranking as the fourth most common cancer with high mortality rates. In response to the need for structured, value-based care, Vinmec Central Park International Hospital established its first Integrated Practice Unit (IPU) for gastrointestinal malignancy, focusing on colon cancer, in 2024. This model aimed to improve patient outcomes through interdisciplinary collaboration, evidence-based pathways, and patient-centered care programs.
Methods The IPU was developed through a phased approach involving key professionals, such as digestive surgeons, medical oncologists, clinical gastroenterologists, non-medical staff, and administrative leadership. The framework prioritized interprofessional care, standardized clinical protocols, and patient engagement. Regular multidisciplinary tumor board meetings were conducted to ensure consistent decision-making and individualized treatment plans. Data collection focused on clinical outcomes, patient-reported measures, and economic metrics.
Results Since its implementation, the colon cancer IPU has shown significant improvements in clinical outcomes, including zero anastomotic leaks, surgical site infections, and 90-day post-operative mortality in 32 subsequent colorectal cancer surgeries. Patient satisfaction with coordinated care and communication increased, with over 90% of surveyed patients expressing positive experiences. Treatment timelines from diagnosis to therapy initiation were reduced by 15%, and six-month post-treatment follow-up adherence improved comparing to the previous year. Additionally, operational efficiency increased, with patient volume and service utilization outcomes showing marked growth, particularly in the first quarter of 2025.
Conclusion The IPU model at Vinmec Central Park demonstrated that structured, patient-oriented approaches can significantly enhance both clinical outcomes and operational efficiency in colon cancer care. Addressing challenges related to cultural adaptation, interdisciplinary collaboration, and financial sustainability was crucial for successful implementation. The experience gathered provides a valuable framework for expanding the model to other gastrointestinal cancers and private healthcare settings in developing countries.
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