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How can diagnostic assessment programs be implemented to enhance inter-professional collaborative care for cancer?
- Source :
- Implementation science : IS, vol 9, iss 1, Implementation Science : IS
- Publication Year :
- 2014
- Publisher :
- eScholarship, University of California, 2014.
-
Abstract
- Background Inter-professional collaborative care (ICC) for cancer leads to multiple system, organizational, professional, and patient benefits, but is limited by numerous challenges. Empirical research on interventions that promote or enable ICC is sparse so guidance on how to achieve ICC is lacking. Research shows that ICC for diagnosis could be improved. Diagnostic assessment programs (DAPs) appear to be a promising model for enabling ICC. The purpose of this study was to explore how DAP structure and function enable ICC, and whether that may be associated with organizational and clinical outcomes. Methods A case study approach will be used to explore ICC among eight DAPs that vary by type of cancer (lung, breast), academic status, and geographic region. To describe DAP function and outcomes, and gather information that will enable costing, recommendations expressed in DAP standards and clinical guidelines will be assessed through retrospective observational study. Data will be acquired from databases maintained by participating DAPs and the provincial cancer agency, and confirmed by and supplemented with review of medical records. We will conduct a pilot study to explore the feasibility of estimating the incremental cost-effectiveness ratio using person-level data from medical records and other sources. Interviews will be conducted with health professionals, staff, and referring physicians from each DAP to learn about barriers and facilitators of ICC. Qualitative methods based on a grounded approach will be used to guide sampling, data collection and analysis. Discussion Findings may reveal opportunities for unique structures, interventions or tools that enable ICC that could be developed, implemented, and evaluated through future research. This information will serve as a formative needs assessment to identify the nature of ongoing or required improvements, which can be directly used by our decision maker collaborators, and as a framework by policy makers, cancer system managers, and DAP managers elsewhere to strategically plan for and implement diagnostic cancer services.
- Subjects :
- Research design
Male
Cooperative behavior
Lung Neoplasms
Interprofessional Relations
Collaborative Care
Health Informatics
Breast Neoplasms
Pilot Projects
Diagnostic assessment program
Health informatics
Medical and Health Sciences
Formative assessment
Study Protocol
Empirical research
Breast cancer
Nursing
Clinical Research
Information and Computing Sciences
Medicine
Humans
Diagnostic Techniques and Procedures
Cancer
Medicine(all)
Patient Care Team
Medical education
business.industry
Inter-professional relations
Health Policy
Prevention
Communication
Inter-professional collaborative care
Health services research
Public Health, Environmental and Occupational Health
General Medicine
Health Services
Systems Integration
Research Design
Needs assessment
Practice Guidelines as Topic
Costs and Cost Analysis
Multidisciplinary care team
Health Policy & Services
Female
Lung cancer
business
Qualitative research
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Implementation science : IS, vol 9, iss 1, Implementation Science : IS
- Accession number :
- edsair.doi.dedup.....7c96993f473aa73249d864e44e4ac77f