Improved care coordination

When it works well, care coordination includes:

  • Skilled patient navigators who coordinate the care of people living with cancer and help them navigate the system
  • Survivorship care plans available that comprehensively document care, detail the goals of patients and communicate this information to health professionals
  • Ehealth or Mhealth platforms for supporting the ongoing engagement of patients with the health system. They need to be user-friendly to patients, supportive services and health professionals enabling each to get “up to speed” on someone’s situation and needs in real-time (including ‘closing the loop’ with GPs after a hospital stay)
  • Referral into community-based services that might assist with reducing re-admission, including information and education as well as treatment

Why the contribution is important

Many of these issues (and costs) stem from not having timely and personalised plans in place to facilitate navigation through the health system and across the community.

by CancerCouncilQLD on May 29, 2019 at 03:23PM

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