TY - JOUR
T1 - Achieving coordinated care for patients with complex cases of cancer
T2 - A multiteam system approach
AU - Lee, Simon J Craddock
AU - Clark, Mark A.
AU - Cox, John V.
AU - Needles, Burton M.
AU - Seigel, Carole
AU - Balasubramanian, Bijal A.
N1 - Publisher Copyright:
Copyright © 2016 by American Society of Clinical Oncology.
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Patients with cancer with multiple chronic conditions pose a unique challenge to how primary care and specialty care teams provide well-coordinated, patient-centered care. Effectiveness of these care teams in providing optimal health care depends onthe extent to which they coordinate their goals and knowledge as components of a multiteam system (MTS). This article outlines challenges of care coordination in the context of an MTS, illustrated through the care experience of "Mr Fuentes," a patient in the Dallas County integrated safety-net system, Parkland. As a continuing patient with chronic illnesses, the patient being discussed is managed through one of the Parkland community-oriented primary careclinics. However, a cancer diagnosis triggered an additional needf or augmented coordination between his different provider teams. Further research and practice should investigate the relationships of MTS coordination for shared care management, transfer to and from specialty care, treatment compliance, barriers to care, and health outcomes of chronic comorbid conditions, as well as cancer control and surveillance.
AB - Patients with cancer with multiple chronic conditions pose a unique challenge to how primary care and specialty care teams provide well-coordinated, patient-centered care. Effectiveness of these care teams in providing optimal health care depends onthe extent to which they coordinate their goals and knowledge as components of a multiteam system (MTS). This article outlines challenges of care coordination in the context of an MTS, illustrated through the care experience of "Mr Fuentes," a patient in the Dallas County integrated safety-net system, Parkland. As a continuing patient with chronic illnesses, the patient being discussed is managed through one of the Parkland community-oriented primary careclinics. However, a cancer diagnosis triggered an additional needf or augmented coordination between his different provider teams. Further research and practice should investigate the relationships of MTS coordination for shared care management, transfer to and from specialty care, treatment compliance, barriers to care, and health outcomes of chronic comorbid conditions, as well as cancer control and surveillance.
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U2 - 10.1200/JOP.2016.013664
DO - 10.1200/JOP.2016.013664
M3 - Article
C2 - 27577621
AN - SCOPUS:85011556503
SN - 1554-7477
VL - 12
SP - 1029
EP - 1038
JO - Journal of oncology practice
JF - Journal of oncology practice
IS - 11
ER -