Cancer Strategic Clinical Network

Bond, T; Estey, Angela; Elwi, Adam

doi:10.1503/cmaj.190576

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…Oncological care networks represent another approach to a solution, which aims to improve communication between care providers and provide care close to home [15,17,48]. We believe that networked healthcare, as suggested by Dr. Porter, and his value-based healthcare framework [49] are particularly applicable for cancer prevention and care.…”

Section: Discussionmentioning

confidence: 99%

“…However, these were not specified in the interviews. As an example of a care pathway we refer to the network "Cancer Strategic Clinical Network" [15]. Contact databases and overview maps for the medical facilities in the region could also serve as small-scale approaches [50].…”

Section: Discussionmentioning

confidence: 99%

“…To cope with these challenges in healthcare provision for patients with skin cancer, regional care networks have been suggested to improve access to high-level clinical care, irrespective of the place of residence of patients. Various networks and integrated forms of care worldwide are dedicated to the care of patients in rural areas or tumor patients [15][16][17][18][19]. Therefore, the Center for Evidence-Based Healthcare and the Skin Cancer Center at the Technical University Dresden conducted a needs analysis considering the different perspectives of patients, physicians, and health insurance company representatives.…”

Section: Introductionmentioning

confidence: 99%

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A Qualitative Needs Analysis of Skin Cancer Care from the Perspectives of Patients, Physicians, and Health Insurance Representatives—A Case Study from Eastern Saxony, Germany

et al. 2022

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Skin cancer is one of the most common cancers worldwide and the number of patients is steadily increasing. In skin cancer care, greater interdisciplinary cooperation is required for prevention, early detection, and new complex systemic therapies. However, the implementation of innovative medical care is a major challenge, especially for rural regions with an older than average, multimorbid population, with limited mobility, that are long distances from medical facilities. Solutions are necessary to ensure comprehensive oncological care in rural regions. The aim of this study was to identify indicators to establish a regional care network for integrated skin cancer care. To capture the perspectives of different stakeholder groups, we conducted two focus groups with twenty skin cancer patients and their relatives, a workshop with eight physicians, and three semi-structured interviews with health insurance company representatives. Qualitative data were recorded, transcribed, and analyzed following Mayring’s content analysis methods. We generated ten categories based on the reported optimization potentials; five categories were assigned to all three stakeholder groups: Prevention and early diagnosis, accessibility of physicians/clinics, physicians’ resources, care provider’s responsibilities, and information exchange. The results indicate the need for stronger integration of care in the region. They provide the basis for regional networking as, for example, the conception of treatment pathways or telemedicine with the aim to improve a comprehensive skin cancer care. Our study should raise awareness and postulate as a demand that all patients receive guideline-based therapy, regardless of where they live.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Qualitative Needs Analysis of Skin Cancer Care from the Perspectives of Patients, Physicians, and Health Insurance Representatives—A Case Study from Eastern Saxony, Germany

et al. 2022

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“…The FOCI initiative embodies the Cancer SCN’s strong commitment to leveraging the collective strengths of the cancer care community for co-designing and implementing innovative solutions [ 6 , 7 ]. This approach involved close collaboration across a diverse group of stakeholders engaged in every aspect of cancer care, spanning the entire continuum from prevention to end-of-life.…”

Section: Introductionmentioning

confidence: 99%

Overview of the Engagement Process to Develop the Future of Cancer Impact (FOCI) Report in Alberta: The Power of Collective Action

Pujadas Botey,

Bond,

Farah

et al. 2024

Current Oncology

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This commentary provides a detailed overview of the extensive stakeholder engagement efforts critical to the development of the Future of Cancer Impact (FOCI) in Alberta report. The overarching aim of the FOCI report was to support informed and strategic discussions and actions that will help key stakeholders in the province prepare for a future with increasing cancer incidence and survival. Employing a comprehensive approach and a diverse range of engagement activities, insights from a wide spectrum of stakeholders were gathered and subsequently used to shape the content of the report. This inclusive process ensured broad representation of perspectives, contributing to a deeper understanding of the complexities in cancer care. The outcome is a robust, consensus-driven report with recommendations set to drive significant transformations within the healthcare system. These efforts highlight the critical role of extensive, inclusive, and collaborative engagement in shaping healthcare initiatives and advancing discussions crucial for the future of cancer care in Alberta.

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Physician perspectives on delays in cancer diagnosis in Alberta: a qualitative study

Botey

GermAnn

Robson

et al. 2021

cmajo

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Background: Delays in cancer diagnosis have been associated with reduced survival, decreased quality of life after treatment, and suboptimal patient experience. The objective of the study was to explore the perspectives of a group of family physicians and other specialists regarding potentially avoidable delays in diagnosing cancer, and approaches that may help expedite the process. Methods:We conducted a qualitative study using interviews with physicians practising in primary and outpatient care settings in Alberta between July and September 2019. We recruited family physicians and specialists who were in a position to discuss delays in cancer diagnosis by email via the Cancer Strategic Clinical Network and the Alberta Medical Association. We conducted semistructured interviews over the phone, and analyzed data using thematic analysis.Results: Eleven family physicians and 22 other specialists (including 7 surgeons or surgical oncologists, 3 pathologists, 3 radiologists, 2 emergency physicians and 2 hematologists) participated in interviews; 22 were male (66.7%). We identified 4 main themes describing 9 factors contributing to potentially avoidable delays in diagnosis, namely the nature of primary care, initial presentation, investigation, and specialist advice and referral. We also identified 1 theme describing 3 suggestions for improvement, including system integration, standardized care pathways and a centralized advice, triage and referral support service for family physicians.Interpretation: These findings suggest the need for enhanced support for family physicians, and better integration of primary and specialty care before cancer diagnosis. A multifaceted and coordinated approach to streamlining cancer diagnosis is required, with the goals of enhancing patient outcomes, reducing physician frustration and optimizing efficiency.

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Cancer Strategic Clinical Network

Cited by 3 publications

References 8 publications

A Qualitative Needs Analysis of Skin Cancer Care from the Perspectives of Patients, Physicians, and Health Insurance Representatives—A Case Study from Eastern Saxony, Germany

A Qualitative Needs Analysis of Skin Cancer Care from the Perspectives of Patients, Physicians, and Health Insurance Representatives—A Case Study from Eastern Saxony, Germany

Overview of the Engagement Process to Develop the Future of Cancer Impact (FOCI) Report in Alberta: The Power of Collective Action

Physician perspectives on delays in cancer diagnosis in Alberta: a qualitative study

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