Electronic shared care plan for long term care of cancer patients
Project Number
PS50364
Project Status
Current
Chief Investigator
Mark Harris
Project Coordinator
Jane Taggart, Melvin Chin (POW), Winston Liauw (St George)
Project Rationale
The prevalence of cancer is increasing due to the increasing survival of patients with cancer. Current models of cancer follow-up care involve either specialist services continuing to provide routine care for long periods or transfer of care to general practice with little or no specialist involvement. Our previous research has demonstrated that this places increasing demands on specialist cancer services and are not acceptable to patients or providers. There is currently no model of shared care between the cancer service and primary health care. Communication between the Cancer Service and GPs is limited and usually one way.
Resources for Colorectal Cancer Shared Care
Below are links to the resources for Colorectal Cancer Shared Care which include:
For GPs:
For Cancer Specialists:
Inca Specialist Guide – GP Led
Project Aim/s
To establish and evaluate a web-based cancer shared care plan that supports long term integrated care of cancer patients for colorectal, breast and lung cancers.
Project Design and Method
Pilot evaluation studies of shared e-care planning for the follow-up care of colorectal, breast and lung cancers are being conducted between Cancer Service specialists, GPs and patients in the South Eastern Sydney Local Health District.
The intervention is a model of shared care that uses an e-care plan for sharing the tasks and responsibilities and for communicating results and monitoring care between the care team, including the patient. The e-care plan is integrated with GP clinical information systems.
The care pathway is shown in the figure below.
Publication
- Taggart J, Chin M, Liauw W, Goldstein D, Dolezal A, Plahn J, Harris MF. Challenges and solutions to sharing a cancer follow-up e-care plan between a cancer service and general practice. Public Health Res Pract. 2021;31(2):e31122108. First published 30 April 2021. https://doi.org/10.17061/phrp31122108