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Jun 19, 2019

MASCC/ISOO Annual Meeting on Supportive Care in Cancer

10 - PROMOTING A COMMUNITY-BASED SHARED-CARE SURVIVORSHIP MODEL IN SINGAPORE: A NATIONWIDE QUALITATIVE STUDY AMONG PRIMARY CARE PHYSICIANS

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shared-care model

cancer survivors

cancer survivorship

primary care

community

qualitative study

Abstract

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Abstract

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Keywords

shared-care model

cancer survivors

cancer survivorship

primary care

community

qualitative study

Abstract

Introduction: To transit from an oncologist-led to a shared-care cancer survivorship model in Singapore, this qualitative study was designed to elicit perspectives from primary care physicians (PCPs) on the design and delivery of a proposed shared-care model among breast cancer survivors. Methods: Eleven focus groups and six in-depth interviews were conducted with 70 PCPs recruited by purposive sampling. All sessions were audio-recorded, transcribed verbatim and coded by three independent researchers. Thematic content data analysis was performed using NVivo 12. Results: Strategies to maximize patient selection, effectiveness, adoption, implementation and maintenance of a shared-care model were reported. PCPs proposed for shared-care to be initiated among survivors who were previously on regular follow-up in the primary setting to leverage on the existing rapport built. At the institution level, buy-ins from a few representatives as early adopters of the new model would generate a positive momentum of change. Key implementation strategies included: (1) improving care communication with oncologists through survivorship care plans supported on technological platforms; (2) integrating survivorship care elements into the current family medicine clinic; (3) providing basic cancer survivorship training and operationalizing workflows with referral triggers to ensure the quality of cancer-related care. In achieving sustainability, governmental support in introducing subsidiary schemes was highlighted to be instrumental in facilitating survivors’ mobility across healthcare settings for shared-care arrangement. Conclusions: The target participants of the shared-care model should be selected purposefully and participating PCPs must be trained systematically. Pre-planned performance indicators should be instituted with model implementation to be evaluated for feasibility and effectiveness.

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© Copyright 2019 Morressier GmbH.
All rights reserved.