Day therapy and home-based therapy offers advantages of maintaining lifestyle and minimising disruption of day-to-day activities.1 The establishment of shared care oncology outreach services and nurse-led services are examples of new approaches to improving access to cancer treatment services.29
Reported benefits of shared care models include:30
- reduced fragmentation of care; that is, a better integrated, more continuous system of care
- more efficient use of scarce resources and related cost efficiencies
- strengthened links between primary, secondary and tertiary sectors
- improved working relationships between providers
- improved satisfaction among people affected by cancer and providers
- increased access to care for people affected by cancer.
These models of care also raise a number of logistical and safety issues that need to be addressed. Challenges include:30
- power and status differences between health providers (eg. between nurses and GPs or GPs and medical specialists)
- professional territorialism and perceived threat to professional autonomy and/or scope of practice
- current funding arrangements that require the GP to see each patient in order to receive service payment/reimbursement
- dedicated time and personnel to implement and manage shared care
- limited methods to measure the outcomes of shared care models.
Describe the community and hospital supports available for people receiving antineoplastic agent treatment in their home.
- Outline the shared care model of care for the person affected by cancer receiving antineoplastic agents.
- Discuss the role of the SCN in the shared care model outlined above.