Assessing the Development of Multidisciplinary Care: Experience of the National Cancer Institute Community Cancer Centers Program
| Autor: | Eliot Lawrence Friedman, Neetu Chawla, Steven B. Clauser, Kathleen Castro, Angela Carrigan, Paul Morris, Irene Prabhu Das |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Lung Neoplasms Breast Neoplasms Cancer Care Facilities Nursing Multidisciplinary approach Blueprint medicine Humans Community Health Services Quality of Health Care Patient Care Team Clinical Trials as Topic ComputingMilieux_THECOMPUTINGPROFESSION Oncology (nursing) business.industry Health Policy Cancer medicine.disease National Cancer Institute (U.S.) United States Health Care Delivery Oncology Work (electrical) Family medicine Female InformationSystems_MISCELLANEOUS business Colorectal Neoplasms Healthcare system |
| Popis: | The National Cancer Institute Community Cancer Centers Program (NCCCP) began in 2007 with a goal of expanding cancer research and delivering quality care in communities. The NCCCP Quality of Care (QoC) Subcommittee was charged with developing and improving the quality of multidisciplinary care. An assessment tool with nine key elements relevant to MDC structure and operations was developed.Fourteen NCCCP sites reported multidisciplinary care assessments for lung, breast, and colorectal cancer in June 2010, June 2011, and June 2012 using an online reporting tool. Each site evaluated their level of maturity (level 1 = no multidisciplinary care, level 5 = highly integrated multidisciplinary care) in nine elements integral to multidisciplinary care. Thematic analysis of open-ended qualitative responses was also conducted.The proportion of sites that reported level 3 or greater on the assessment tool was tabulated at each time point. For all tumor types, sites that reached this level increased in six elements: case planning, clinical trials, integration of care coordination, physician engagement, quality improvement, and treatment team integration. Factors that enabled improvement included increasing organizational support, ensuring appropriate physician participation, increasing patient navigation, increasing participation in national quality initiatives, targeting genetics referrals, engaging primary care providers, and integrating clinical trial staff.Maturation of multidisciplinary care reflected focused work of the NCCCP QoC Subcommittee. Working group efforts in patient navigation, genetics, and physician conditions of participation were evident in improved multidisciplinary care performance for three common malignancies. This work provides a blueprint for health systems that wish to incorporate prospective multidisciplinary care into their cancer programs. |
| Databáze: | OpenAIRE |
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