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dc.contributor.authorJiwa, Moyez
dc.contributor.authorLongman, G.
dc.contributor.authorSriram, Deepa
dc.contributor.authorSherriff, Jill
dc.contributor.authorBriffa, Kathy
dc.contributor.authorMusiello, T.
dc.date.accessioned2017-03-15T22:07:02Z
dc.date.available2017-03-15T22:07:02Z
dc.date.created2017-02-24T00:09:06Z
dc.date.issued2013
dc.identifier.citationJiwa, M. and Longman, G. and Sriram, D. and Sherriff, J. and Briffa, K. and Musiello, T. 2013. Cancer care coordinator: Promoting multidisciplinary care- A pilot study in Australian general practice. Collegian. 20: pp. 67-73.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/49718
dc.identifier.doi10.1016/j.colegn.2012.03.007
dc.description.abstract

Aim: We hypothesised that patients treated for breast cancer would benefit from targeted therapeutic action delivered by general practitioners on the recommendations of a multidisciplinary team based in primary care. Methods: Patients scheduled for follow-up visits at a hospital surgical clinic were invited to complete a self-administered care needs assessment and be interviewed by a breast care nurse. Members of the multidisciplinary team discussed the audio-recorded interviews within 2 weeks. The team made recommendations for each patient, which were presented to the general practitioner as a suggested ‘care plan’. Health status information was collected via the Short Form 36 and Anxiety and Depression data via the Hospital anxiety and Depression Scale at recruitment and 3 months later. Results: Among the 74 women who were invited to participate, 21 were recruited over a 6-month period (28%), 19 of whom completed the study (90%). The mean age was 55 years (range 38–61 years) and the mean time in follow-up was 23 months (range 16–38 months). The team identified a median of three problems per patient (range 2–7) and made an average of two recommendations per patient for referral to an allied health professional (range 0–5). At 3 months, 17 women had attended their general practitioner, 11 of whom felt their condition had improved as a result of the intervention. There was no significant change in Short Form 36 or Hospital Anxiety and Depression Scale score after the intervention. Conclusions: Primary care-based multidisciplinary review of treated breast cancer patients is feasible and, for most, results in benefit. However, only a minority of eligible patients participated in this pilot study and the logistics of organising the reviews warrants careful consideration.

dc.publisherRoyal College of Nursing Australia
dc.titleCancer care coordinator: Promoting multidisciplinary care- A pilot study in Australian general practice
dc.typeJournal Article
dcterms.source.volume20
dcterms.source.startPage67
dcterms.source.endPage73
dcterms.source.issn1322-7696
dcterms.source.titleCollegian
curtin.accessStatusFulltext not available
curtin.facultyFaculty of Health Sciences


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