While integrating care services is part of the journey to a transformed health system, it is not the destination. Efforts to integrate care have rarely encompassed the broader health of local populations and the impact of the wider determinants of health. While integrating care services is part of the journey to a transformed health system, it is not the destination. Efforts to integrate care have rarely encompassed the broader health of local populations and the impact of the wider determinants of health.
Cancer Voices SA's insight:
What we measure, and what we do .... thinking about 'social determinants of health' measures integrated into health outcomes.
8 tips for good experience of care - (page 11) - involve as an active partner in my care -treat me as an individual - my needs, values and preferences respected -care is coordinated so I know where to go next and where to turn if I have a problem -respect my knowledge, skills and expertise about my own condition
-Communication is tailored to me
-access to information enabling me to make decisions
-access to support I need
-the health care environment is clean, comfortable, & supports dignity
"community expectations have risen in regard to being communicated and involved with their care and a common refrain in relation to rising healthcare costs, alongside population ageing, increased burden of chronic illness, and higher-cost medical technologies"
Interesting analysis proposing new ways of monitoring prevalent and costly conditions (eg breast cancer, diabetes, stoke..) using outcome measures meaningful to patients & providers, cross cutting and patient-reported measures.
obesity, cancer, risks & recurrence. ASCO position statement says oncologists should develop basic skills in talking to cancer patients and survivors about ... weight status, and the role of healthy eating and exercise on reducing fatigue, improving body image, and lowering incidence of comorbidity. Obesity is a complex problem - but can't continue to ignore
A study of 916 surveys from 229 women who had either a unilateral or bilateral mastectomy found no difference in breast cancer-related lymphedema, based on an analysis of 355 mastectomies, between those who had one breast removed and those who had two breasts removed..... There were also no significant differences in mean arm function score and quality of life. “Since all of us are seeing more and more bilateral mastectomies, this kind of information is very important to have.”
Breast cancer in young women is the first national report presenting key data specific to breast cancer in women in their 20s and 30s. This report provides an overview of breast cancer, risk factors for young women, breast cancer detection and diagnosis methods, and key summary measures including incidence, hospitalisations, survival and mortality.
Early detection, disease prognosis, a guide to treatment, a key to unlock the secrets of how cancers evolve. Researchers have high hopes for what they can learn from the biological detritus shed by pr
Cancer Voices SA's insight:
Good overview of this emerging technology which can add clues to inform prognosis, monitor effectiveness of treatment aimed to eradicate cancer, and monitor changes which pre-empt treatment resistance.
For many, cancer 'cure' comes with a heavy & often unexpected cost in the consequences of the cancer &/or treatment. It is vital to 'throw light' on the scale of this problem. Govt, health services & even health professionals underestimate the long-term challenges for survivors.
The idea that people should have a stronger voice in decisions about their health and care, and that services should better reflect their needs and preferences, has been a policy goal of politicians and senior policy-makers in health for at least 20 years. Patients want it, and the evidence shows that when they are involved, decisions are better, health and health outcomes improve, and resources are allocated more efficiently.
Surgery for malignant cancer bowel, breast and lung cancer is usually categorised as urgent and needs surgery within 30 days. .... More than half those whose surgery was delayed beyond 45 days were bowel cancer patients (216), the report shows.
The results of this analysis indicate that overall, cancer survivors had total annual medical expenditures estimated at $4,187 more for males and $3,293 more for females, compared with those of persons without a cancer history. ....Approximately 30 percent of survivors are disabled and not able to return to work or have decreased ability to work because of limitations in cognitive, mental, and physical functioning and psychological distress.10 These survivors are more likely to incur higher productivity losses than persons without a cancer history. These challenges, particularly those related to employment, might differ for men and women, as presented in this report. ....A 2013 IOM publication, “Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis,” highlighted the importance of information about cancer costs and of quantifying the economic issues encountered by cancer survivors and their families.
Cancer Council's Working Beyond Cancer workshops cover a variety of topics and workplace-related issues. Call 1300 200 558 for upcoming program dates
Cancer Voices SA's insight:
Cancer, Work & You - valuable info in a recent series of webinars by Cancer Council NSW eg How will returning to work affect me, Legal issues in the workplace, How will I manage financially ....with Work life balance 'on the menu'.
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