Integrating Regional and Community Lung Cancer Services to Improve Patient Care

  • Max Dahele
  • Yee Ung
  • Jacinta Meharchand
  • Harry Shulman
  • Robert Zeldin
  • Abdollah Behzadi
  • Carmine Simone
  • Susanna Cheng
  • Corey Weigensberg
  • Khalil Sivjee

Abstract

Background: Lung cancer is the leading cause of cancer death in Canada. The organisation of healthcare services is central to the delivery of accessible, high-quality medical care and may be one factor that influences patient outcome. Purpose: An exciting opportunity arose for clinicians to initiate the redesign of lung cancer services provided by 3 institutions in the Greater Toronto Area. This qualitative report describes the integrated lung cancer network that they developed, the innovation it has facilitated and the systematic approach being taken to evaluate its impact. Method: Available clinical resources were deployed to restructure services along patient-centred lines and provide greater access to the specialist lung cancer team. Results: A non-hierarchical clinical network has been established which consolidates the lung cancer team. A multi-institutional and multidisciplinary tumor board and comprehensive thoracic oncology clinics are at its core. Discussion: This innovative organisational paradigm considers all of the available services at each facility and aims to fully integrate specialists across the 3 institutions, thereby maximizing resource utilization. We believe it may have wider applicability. The network is currently working to (1) complete a current program of further service improvements and (2) objectively assess its impact on patient outcome.

Author Biographies

Max Dahele
Department of Radiation Oncology, Toronto-Sunnybrook Regional Cancer Centre and University of Toronto, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5
Yee Ung
Department of Radiation Oncology, Toronto-Sunnybrook Regional Cancer Centre and University of Toronto, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5
Jacinta Meharchand
Department of Medical Oncology, Toronto East General Hospital, 825 Coxwell Avenue, Toronto, Ontario, Canada M4C 3E7
Harry Shulman
Department of Medical Imaging, Sunnybrook Health Science Centre and University of Toronto, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5
Robert Zeldin
Department of Thoracic Surgery, Toronto East General Hospital and University of Toronto, 825 Coxwell Avenue, Toronto, Ontario, Canada M4C 3E7
Abdollah Behzadi
Department of Thoracic Surgery, The Scarborough Hospital and University of Toronto (Family Medicine), 3050 Lawrence Avenue East, Scarborough, Ontario, Canada M1P 2V
Carmine Simone
Department of Thoracic Surgery, Toronto East General Hospital and University of Toronto, 825 Coxwell Avenue, Toronto, Ontario, Canada M4C 3E7
Susanna Cheng
Department of Medical Oncology, Toronto-Sunnybrook Regional Cancer Centre and University of Toronto, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5
Corey Weigensberg
Department of Pathology, The Scarborough Hospital, 3050 Lawrence Avenue East, Scarborough, Ontario, Canada M1P 2V5
Khalil Sivjee
Department of Respirology, Sunnybrook Health Science Centre and University of Toronto, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5
How to Cite
Dahele, M., Ung, Y., Meharchand, J., Shulman, H., Zeldin, R., Behzadi, A., Simone, C., Cheng, S., Weigensberg, C., & Sivjee, K. (1). Integrating Regional and Community Lung Cancer Services to Improve Patient Care. Current Oncology, 14(6). https://doi.org/10.3747/co.v14i6.166
Section
Short Communication