A logbook, or patient-dossier, was developed, to improve continuity of
information in the treatment and care of head-and-neck cancer patient
s. It contained information modules on different aspects of care: as w
ell as forms to facilitate communication both between patient and care
-professional and between the various care-professionals. The logbook'
s effectiveness was evaluated in two hospitals in Rotterdam, by compar
ing outcomes for trial and comparison groups of, respectively, 71 and
54 patients and 59 and 35 care-professionals. Trial patients proved to
be better informed, to receive more support and to experience fewer p
sychosocial problems. Professionals who used the logbook were better i
nformed about their patients, and about the care-activities of fellow-
professionals than those who did not. They recognised an improvement i
n their contact with colleagues and in the harmonisation of their resp
ective care-activities. (C) 1997 Elsevier Science Ireland Ltd.