Implementing an Inclusive, Multidisciplinary Supportive Care Model to Provide Integrated Care to Breast and Gynaecological Cancer Survivors: A Case Study at an Asian Ambulatory Cancer Centre
Introduction: Supportive care models considering inclusivity and community services to improve integrated care for cancer survivors are limited. In this case study, we described the implementation of a multidisciplinary care model employing routine distress screening and embedded integrated care pat...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2023-03-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | https://account.ijic.org/index.php/up-j-ijic/article/view/6480 |
| _version_ | 1797845492248346624 |
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| author | Yu Ke Yung Ying Tan Patricia Soek Hui Neo Grace Meijuan Yang Kiley Wei-Jen Loh Shirlynn Ho Yee Pin Tan Mothi Babu Ramalingam Daniel Song Chiek Quah Lita Chew Phebe En Hui Si Beng Choo Tay Alexandre Chan |
| author_facet | Yu Ke Yung Ying Tan Patricia Soek Hui Neo Grace Meijuan Yang Kiley Wei-Jen Loh Shirlynn Ho Yee Pin Tan Mothi Babu Ramalingam Daniel Song Chiek Quah Lita Chew Phebe En Hui Si Beng Choo Tay Alexandre Chan |
| author_sort | Yu Ke |
| collection | DOAJ |
| description | Introduction: Supportive care models considering inclusivity and community services to improve integrated care for cancer survivors are limited. In this case study, we described the implementation of a multidisciplinary care model employing routine distress screening and embedded integrated care pathways to integrate care across disciplines and care sectors, while remaining inclusive of the multi-ethnic and multilingual population in Singapore. We reported implementation outcomes after 18 months of implementation. Description: We reviewed the model’s process indicators from September 2019 to February 2021 at the largest public ambulatory cancer centre. Outcomes assessed included penetration, fidelity to screening protocol, and feasibility in three aspects – inclusiveness of different ethnic and language groups, responsiveness to survivors reporting high distress, and types of community service referrals. Discussion/conclusion: We elucidated opportunities to promote access to community services and inclusivity. Integration of community services from tertiary settings should be systematic through mutually beneficial educational and outreach initiatives, complemented by their inclusion in integrated care pathways to encourage systematic referrals and care coordination. A hybrid approach to service delivery is crucial in ensuring inclusivity while providing flexibility towards external changes such as the COVID-19 pandemic. Future work should explore using telehealth to bolster inclusiveness and advance community care integration. |
| first_indexed | 2024-04-09T17:39:55Z |
| format | Article |
| id | doaj.art-b5f93aa3b3f34fa7b59efd50f71f7bd8 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-04-09T17:39:55Z |
| publishDate | 2023-03-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-b5f93aa3b3f34fa7b59efd50f71f7bd82023-04-17T07:08:45ZengUbiquity PressInternational Journal of Integrated Care1568-41562023-03-0123141410.5334/ijic.64804636Implementing an Inclusive, Multidisciplinary Supportive Care Model to Provide Integrated Care to Breast and Gynaecological Cancer Survivors: A Case Study at an Asian Ambulatory Cancer CentreYu Ke0Yung Ying Tan1Patricia Soek Hui Neo2Grace Meijuan Yang3https://orcid.org/0000-0002-0915-6007Kiley Wei-Jen Loh4https://orcid.org/0000-0003-0638-4677Shirlynn Ho5Yee Pin Tan6Mothi Babu Ramalingam7Daniel Song Chiek Quah8Lita Chew9Phebe En Hui Si10Beng Choo Tay11Alexandre Chan12https://orcid.org/0000-0003-4391-4219Division of Supportive and Palliative Care, National Cancer Centre SingaporeDivision of Supportive and Palliative Care, National Cancer Centre SingaporeDivision of Supportive and Palliative Care, National Cancer Centre SingaporeDivision of Supportive and Palliative Care, National Cancer Centre Singapore; Duke-NUS Medical School Singapore; Department of General Medicine, Sengkang General HospitalDivision of Supportive and Palliative Care, National Cancer Centre SingaporeDivision of Supportive and Palliative Care, National Cancer Centre SingaporeDepartment of Psychosocial Oncology, National Cancer Centre SingaporeDepartment of Rehabilitation Medicine, Singapore General HospitalDivision of Supportive and Palliative Care, National Cancer Centre Singapore; Division of Radiation Oncology, National Cancer Centre SingaporeDepartment of Pharmacy, National University of Singapore; Department of Pharmacy, National Cancer Centre SingaporeDepartment of Pharmacy, National Cancer Centre SingaporeDivision of Supportive and Palliative Care, National Cancer Centre SingaporeDuke-NUS Medical School Singapore; Department of Pharmacy, National Cancer Centre Singapore, SG; Department of Clinical Pharmacy Practice, University of California IrvineIntroduction: Supportive care models considering inclusivity and community services to improve integrated care for cancer survivors are limited. In this case study, we described the implementation of a multidisciplinary care model employing routine distress screening and embedded integrated care pathways to integrate care across disciplines and care sectors, while remaining inclusive of the multi-ethnic and multilingual population in Singapore. We reported implementation outcomes after 18 months of implementation. Description: We reviewed the model’s process indicators from September 2019 to February 2021 at the largest public ambulatory cancer centre. Outcomes assessed included penetration, fidelity to screening protocol, and feasibility in three aspects – inclusiveness of different ethnic and language groups, responsiveness to survivors reporting high distress, and types of community service referrals. Discussion/conclusion: We elucidated opportunities to promote access to community services and inclusivity. Integration of community services from tertiary settings should be systematic through mutually beneficial educational and outreach initiatives, complemented by their inclusion in integrated care pathways to encourage systematic referrals and care coordination. A hybrid approach to service delivery is crucial in ensuring inclusivity while providing flexibility towards external changes such as the COVID-19 pandemic. Future work should explore using telehealth to bolster inclusiveness and advance community care integration.https://account.ijic.org/index.php/up-j-ijic/article/view/6480distress screeningcancerintegrated caresupportive careinclusivecovid-19 |
| spellingShingle | Yu Ke Yung Ying Tan Patricia Soek Hui Neo Grace Meijuan Yang Kiley Wei-Jen Loh Shirlynn Ho Yee Pin Tan Mothi Babu Ramalingam Daniel Song Chiek Quah Lita Chew Phebe En Hui Si Beng Choo Tay Alexandre Chan Implementing an Inclusive, Multidisciplinary Supportive Care Model to Provide Integrated Care to Breast and Gynaecological Cancer Survivors: A Case Study at an Asian Ambulatory Cancer Centre International Journal of Integrated Care distress screening cancer integrated care supportive care inclusive covid-19 |
| title | Implementing an Inclusive, Multidisciplinary Supportive Care Model to Provide Integrated Care to Breast and Gynaecological Cancer Survivors: A Case Study at an Asian Ambulatory Cancer Centre |
| title_full | Implementing an Inclusive, Multidisciplinary Supportive Care Model to Provide Integrated Care to Breast and Gynaecological Cancer Survivors: A Case Study at an Asian Ambulatory Cancer Centre |
| title_fullStr | Implementing an Inclusive, Multidisciplinary Supportive Care Model to Provide Integrated Care to Breast and Gynaecological Cancer Survivors: A Case Study at an Asian Ambulatory Cancer Centre |
| title_full_unstemmed | Implementing an Inclusive, Multidisciplinary Supportive Care Model to Provide Integrated Care to Breast and Gynaecological Cancer Survivors: A Case Study at an Asian Ambulatory Cancer Centre |
| title_short | Implementing an Inclusive, Multidisciplinary Supportive Care Model to Provide Integrated Care to Breast and Gynaecological Cancer Survivors: A Case Study at an Asian Ambulatory Cancer Centre |
| title_sort | implementing an inclusive multidisciplinary supportive care model to provide integrated care to breast and gynaecological cancer survivors a case study at an asian ambulatory cancer centre |
| topic | distress screening cancer integrated care supportive care inclusive covid-19 |
| url | https://account.ijic.org/index.php/up-j-ijic/article/view/6480 |
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