Integrating Regional and Community Lung Cancer Services to Improve Patient Care
Autor: | Khalil Sivjee, J Meharchand, Max Dahele, Yee Ung, Corey Weigensberg, Harry Shulman, Robert Zeldin, Abdollah Behzadi, Susanna Cheng, Carmine Simone |
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Rok vydání: | 2007 |
Předmět: |
Service (business)
medicine.medical_specialty tumour board Restructuring business.industry Short Communication medicine.disease Medical care Patient care lung cancer multidisciplinary clinic clinical network Health care organization Multidisciplinary approach Thoracic Oncology Family medicine Health care Medicine Medical emergency business Lung cancer multidisciplinary team |
Zdroj: | Current Oncology Volume 14 Issue 6 Pages 157-237 |
ISSN: | 1718-7729 |
DOI: | 10.3747/co.2007.157 |
Popis: | Lung cancer is the leading cause of cancer death in Canada. The organization of health care services is central to the delivery of accessible, high-quality medical care and may be one factor that influences patient outcome. An exciting opportunity arose for clinicians to initiate the redesign of lung cancer services provided by three institutions in the Greater Toronto Area. This qualitative report describes the integrated lung cancer network that they developed, the innovation it has facilitated, and the systematic approach being taken to evaluate its impact. Available clinical resources were deployed to restructure services along patient-centred lines and to provide greater access to the specialist lung cancer team. A non-hierarchical clinical network was established that consolidates the lung cancer team. A multi-institutional and multidisciplinary tumour board and comprehensive thoracic oncology clinics are at its core. This innovative organizational paradigm considers all of the available services at each facility and aims to fully integrate specialists across the three institutions, thereby maximizing resource utilization. We believe that this paradigm may have wider applicability. The network is currently working to complete a current program of further service improvements and to objectively assess its impact on patient outcome. |
Databáze: | OpenAIRE |
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