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Implications of a needs assessment intervention for people with progressive cancer: Impact on clinical assessment, response and service utilisation

Journal Article


Abstract


  • Objective: To assess the impact of the systematic use of the Palliative Care Needs Assessment Guidelines and Needs Assessment Tool: Progressive Disease-Cancer (NAT: PD-C) on clinical assessment, response and service utilisation. Study setting: Three major oncology treatment centres in NSW, Australia. Study design: Between March 2007 and December 2009, 219 people with advanced cancer were recruited to complete bi-monthly telephone interviews. The intervention, introduced after at least two baseline interviews, involved training health professionals to complete the NAT: PD-C with patients approximately monthly. Data collection: Rates of service use and referrals were compared pre- and post-introduction of the NAT: PD-C. Rates of completion of the tool; its impact on consultation length; and the types of needs and follow-up care to address these were also assessed. Principal findings: The NAT: PD-C had a high rate of completion; identified needs consistent with those self-reported by patients in interviews; and did not alter consultation length. No changes in the number of health professionals seen by patients were found pre- and post-intervention. Conclusion: The NAT: PD-C is an efficient and acceptable strategy for supporting needs-based cancer care that can potentially be incorporated into standard routine care without increasing the burden on care providers. Copyright �� 2011 John Wiley & Sons, Ltd.

UOW Authors


Publication Date


  • 2012

Citation


  • Waller, A., Girgis, A., Johnson, C., Lecathelinais, C., Sibbritt, D., Seldon, M., . . . Currow, D. (2012). Implications of a needs assessment intervention for people with progressive cancer: Impact on clinical assessment, response and service utilisation. Psycho-Oncology, 21(5), 550-557. doi:10.1002/pon.1933

Scopus Eid


  • 2-s2.0-84860224568

Start Page


  • 550

End Page


  • 557

Volume


  • 21

Issue


  • 5

Place Of Publication


Abstract


  • Objective: To assess the impact of the systematic use of the Palliative Care Needs Assessment Guidelines and Needs Assessment Tool: Progressive Disease-Cancer (NAT: PD-C) on clinical assessment, response and service utilisation. Study setting: Three major oncology treatment centres in NSW, Australia. Study design: Between March 2007 and December 2009, 219 people with advanced cancer were recruited to complete bi-monthly telephone interviews. The intervention, introduced after at least two baseline interviews, involved training health professionals to complete the NAT: PD-C with patients approximately monthly. Data collection: Rates of service use and referrals were compared pre- and post-introduction of the NAT: PD-C. Rates of completion of the tool; its impact on consultation length; and the types of needs and follow-up care to address these were also assessed. Principal findings: The NAT: PD-C had a high rate of completion; identified needs consistent with those self-reported by patients in interviews; and did not alter consultation length. No changes in the number of health professionals seen by patients were found pre- and post-intervention. Conclusion: The NAT: PD-C is an efficient and acceptable strategy for supporting needs-based cancer care that can potentially be incorporated into standard routine care without increasing the burden on care providers. Copyright �� 2011 John Wiley & Sons, Ltd.

UOW Authors


Publication Date


  • 2012

Citation


  • Waller, A., Girgis, A., Johnson, C., Lecathelinais, C., Sibbritt, D., Seldon, M., . . . Currow, D. (2012). Implications of a needs assessment intervention for people with progressive cancer: Impact on clinical assessment, response and service utilisation. Psycho-Oncology, 21(5), 550-557. doi:10.1002/pon.1933

Scopus Eid


  • 2-s2.0-84860224568

Start Page


  • 550

End Page


  • 557

Volume


  • 21

Issue


  • 5

Place Of Publication