Using the patient experience to develop a model of care for breast cancer follow-up

摘要: Improvements in early detection and treatment of breast cancer the reduction mortality rates have led to an expansion numbers patients accessing follow-up clinics (Montgomery Dixon 2008). This has resulted a need review services address current situation best effect (Burnet, Chapman, Wishart Purushotham 2004). To meet aims Cancer Plan (Department Health (DOH) 2000) more recently Reform Strategy (DOH 2007) as well needs reconfiguration development existing at study site was required. The primacy stakeholder’s views driving force behind research design. The approach used involve patients, GPs, clinical team key people based NHS Trust. A focus group identify issues for one-to-one interviews with GPs. These themes informed patient GP questionnaires. Key Informant were conducted members Multidisciplinary (MDT) team. outlines nature complexities associated diagnosis cancer. is from both psychological physical perspective impact it on patients. emerge data about service delivered present expectations perceived value follow-up. involvement stakeholders ensured that their voices heard alongside those hospital primary care staff. Themes questionnaires, informant concurred each other. reassurance had been treated participants very important Another element continuity relationship MDT (multidisciplinary team). good instilled confidence patient’s management rather than continual questioning requiring same information patient. Following period uncertainty, paramount. vulnerability women discussed, due sexual examination fear recurrence caused lot anxiety. Moreover importance discussed consistency technique. Therefore communication between treatment, health education opportunity talk ask questions helped reduce All model shared but aspects resources would place ensure safe practice. GPs did highlight some disadvantages such long waits, travel lack continuity. There also dispute clinicians expertise transfer community services. raised by developmental work develop new care. wanted be seen not averse being setting. To conclude findings literature related gained attending clinics. However, NICE (2002) do appear take into account users this multifaceted As time there make decision, should set junctures which discuss living coping mechanisms. It may end will require others. Follow-up individualised where are discharged others support thus moving away exact programme all happens now.