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       #Post#: 205--------------------------------------------------
       Impact on quality of care by Stratified Cancer pathways
       By: admini5 Date: May 13, 2015, 7:14 am
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       What is the impact on quality of care or population health by
       having Stratified Cancer pathways initiative in place?
       Benefits of the self-management pathway include the following.
       -
       specialist team.
       -
       cancer referrals and enables rapid access back into the system
       for existing patients with problems.
       -
       discussion with patients at key points in the pathway helps to
       detect and manage cancer-related psychosocial morbidity that
       might not be identified in a typical outpatient appointment.
       -
       monitoring surveillance tests remotely is more likely to be a
       person who is familiar with a patient’s history.
       -
       understanding of their condition and situation, through needs
       assessments and information events, should enable earlier
       self-detection of recurrence. Demand for helplines and unplanned
       admissions decreases. Patient confidence to self-manage their
       health and wellbeing increases.
       -
       service earlier with any worries or concerns. In a survey to
       identify the personal cost of follow-up to patients, 24% of
       participants reported having new symptoms that they did not
       report until their next outpatient appointment.
       -
       responsive access to specialist teams if problems occur.
       -
       meets NICE quality standards and is tailored to individual
       tolerances provides a safer system to monitor patients in
       remission and reduce the numbers ‘lost to
       follow-up’.
       -
       diagnosis and treatment, and prompt primary care teams to
       undertake cancer care reviews and alert patients to potential
       effects that may occur many years after treatment. A baseline
       evaluation of clinic letters found there to be insufficient
       information for GPs to enable patients to be managed in primary
       care leading to a higher likelihood of people being referred
       back to specialist teams if problems arise.
       -
       any needs assessment and care planning. For some patients,
       lifestyle changes will reduce the risk of disease recurrence,
       lower the impact of comorbid disease and improve quality of
       life.
       These benefits have been demonstrated in the short term but,
       given the long-term nature of cancer, the sustainability of the
       benefits of the initiative has not yet been proven.
       For further information please visit:
  HTML http://arms.evidence.nhs.uk/resources/qipp/1029456/attachment
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