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POST‐SURGICAL CARE IN BREAST CANCER – PROCESS MAPPING CURRENT MODELS IN AUSTRALIA
Author(s) -
Giles C.,
Buckingham J.,
Delaney G.,
Pearce A.,
Wilcoxon H.,
Zorbas H.
Publication year - 2009
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2009.04913_10.x
Subject(s) - medicine , multidisciplinary approach , metropolitan area , breast cancer , family medicine , stakeholder , nursing , cancer , public relations , sociology , social science , pathology , political science
Purpose: Evidence collated by National Breast and Ovarian Cancer Centre (NBOCC) suggests that recent reductions in length of stay (LOS) following early breast cancer surgery are influencing the care women receive. Process mapping (PM) identifies steps involved in a patient's pathway. This project utilises PM to identify successful components and gaps in current models related to LOS and highlight opportunities to improve the post‐surgical (PS) care of women with breast cancer in Australia. Methodology: Nine Australian hospitals were selected for high level PM using seven criteria; public/private, metropolitan/regional, services (diagnostic, treatment and follow up), surgical caseload, patient management protocols, multidisciplinary care, information and support. PM includes a workshop with the multidisciplinary team and consumers, as well as interviews with key clinical informants from the PS care pathway. Results: PM results in a series of flowcharts of the PS pathway. These inform a report on current models of care and their successful aspects, together with stakeholder perceptions. Differences between public/private and metropolitan/regional facilities are highlighted, along with the impact of different delivery models on the provision of information, clinical and supportive care for women. Conclusion: PM allows a representation of the impact of LOS on women's PS care, and the extent to which information, clinical and supportive care are available within current models. These results, combined with other NBOCC collated data (including AIHW statistics, surveys of women and breast care nurses, and literature reviews) will inform recommendations on new delivery models.