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Improving outcomes for palliative lung cancer patients: experience of a multiprofessional parallel clinic model in a district general hospital [Abstract]

Smith, J., Williamson, I., Ionescu, A., Brewster, A. E., Howison, H., Williams, S., Smith, C. and Noble, Simon Ian Robert 2012. Improving outcomes for palliative lung cancer patients: experience of a multiprofessional parallel clinic model in a district general hospital [Abstract]. Lung Cancer 75 (Supp 1) , S32. 10.1016/S0169-5002(12)70098-3

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Abstract

Introduction: Over 70% of patients diagnosed with lung cancer will die within a year and of these, a majority will have palliative care needs identified early into their diagnosis. The transition from active treatment to a palliative focus involves several practical, attitudinal and institutional barriers, which need to be overcome in a relatively short period of time. We describe a model of parallel clinic working which has successfully improved the care of patients with advanced lung cancer. Method: Service Model: Represented at this weekly outpatient clinic are: Respiratory Physician, Thoracic Oncologist, Palliative Care Consultant, Lung Cancer CNS, Cancer Trials Nurse and access to Clinical Psychology. Patients may be booked to slots with one or more of these specialists. If they do not have a formal outpatient appointment but specialist expertise is required, the patient can usually be seen by the appropriate colleague in the same session. Results: 86 new, and 411 follow-up patients have been seen in the palliative care clinic, working to this model between January 2009- January 2011. The following advantages have been identified: • Improved service provision • Reduction in referral time as many patients are seen in the same session that their palliative needs were identified • Reduced transportation costs to the NHS and patient, as multiple clinic appointments are avoided • Seamless transition of care between specialities • Improved access to cancer trials • For the multidisciplinary team: Improving communication between specialities Efficient and productive team-working Improved continuity of care Cross-fertilisation of up-to-date and best practice working. Conclusions: The experience of the palliative patient is enhanced through collaborative, multidisciplinary team-working. The parallel clinic model also benefits the team as a whole, with potential savings for the organisation. Supportive data will be presented.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
Additional Information: Poster Abstracts of the 10th Annual BTOG Conference 2012 Dublin, Ireland 25–27 January 2012
Publisher: Dove Medical Press
ISSN: 1179-2728
Last Modified: 10 Oct 2017 14:57
URI: http://orca-mwe.cf.ac.uk/id/eprint/43743

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