TY - JOUR
T1 - Achieving coordinated care for patients with complex cases of cancer
T2 - A multiteam system approach
AU - Lee, Simon J Craddock
AU - Clark, Mark A.
AU - Cox, John V.
AU - Needles, Burton M.
AU - Seigel, Carole
AU - Balasubramanian, Bijal A.
N1 - Funding Information:
The production of this manuscript was funded by the Conquer Cancer Foundation Mission Endowment. Supported in part by National Cancer Institute (NCI) Cancer Center Support Grant No. 5P30CA142543 (S.J.C.L., J.V.C., B.A.B.) and by Agency for Healthcare Research and Quality Grant No. R24 HS022418 to the UT Southwestern Center for Patient-Centered Outcomes Research (S.J.C.L.). Presented in part at the NCI-American Society of Clinical Oncology Teams in Cancer Care meeting, Phoenix, AZ, February 25, 2016. We thank Jean A. Akpan, MD, for advice and guidance to better incorporate the primary care perspective of management of patients with complex cases, especially in the Parkland integrated system. We also thank the participants and anonymous reviewers involved in the NCI-ASCO Teams in Cancer Care initiative for critique of earlier versions of this work.
Publisher Copyright:
Copyright © 2016 by American Society of Clinical Oncology.
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Patients with cancer with multiple chronic conditions pose a unique challenge to how primary care and specialty care teams provide well-coordinated, patient-centered care. Effectiveness of these care teams in providing optimal health care depends onthe extent to which they coordinate their goals and knowledge as components of a multiteam system (MTS). This article outlines challenges of care coordination in the context of an MTS, illustrated through the care experience of "Mr Fuentes," a patient in the Dallas County integrated safety-net system, Parkland. As a continuing patient with chronic illnesses, the patient being discussed is managed through one of the Parkland community-oriented primary careclinics. However, a cancer diagnosis triggered an additional needf or augmented coordination between his different provider teams. Further research and practice should investigate the relationships of MTS coordination for shared care management, transfer to and from specialty care, treatment compliance, barriers to care, and health outcomes of chronic comorbid conditions, as well as cancer control and surveillance.
AB - Patients with cancer with multiple chronic conditions pose a unique challenge to how primary care and specialty care teams provide well-coordinated, patient-centered care. Effectiveness of these care teams in providing optimal health care depends onthe extent to which they coordinate their goals and knowledge as components of a multiteam system (MTS). This article outlines challenges of care coordination in the context of an MTS, illustrated through the care experience of "Mr Fuentes," a patient in the Dallas County integrated safety-net system, Parkland. As a continuing patient with chronic illnesses, the patient being discussed is managed through one of the Parkland community-oriented primary careclinics. However, a cancer diagnosis triggered an additional needf or augmented coordination between his different provider teams. Further research and practice should investigate the relationships of MTS coordination for shared care management, transfer to and from specialty care, treatment compliance, barriers to care, and health outcomes of chronic comorbid conditions, as well as cancer control and surveillance.
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U2 - 10.1200/JOP.2016.013664
DO - 10.1200/JOP.2016.013664
M3 - Article
C2 - 27577621
AN - SCOPUS:85011556503
VL - 12
SP - 1029
EP - 1038
JO - Journal of Oncology Practice
JF - Journal of Oncology Practice
SN - 1554-7477
IS - 11
ER -