- Title
- Implications of a needs assessment intervention for people with progressive cancer: impact on clinical assessment, response and service utilisation
- Creator
- Waller, Amy; Girgis, Afaf; Johnson, Claire; Lecathelinais, Christophe; Sibbritt, David; Seldon, Michael; Bonaventura, Tony; Currow, David
- Relation
- Psycho-Oncology Vol. 21, Issue 5, p. 550-557
- Publisher Link
- http://dx.doi.org/10.1002/pon.1933
- Publisher
- John Wiley & Sons
- Resource Type
- journal article
- Date
- 2012
- Description
- 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.
- Subject
- cancer; oncology; NAT; PD-C; palliative care; service utilisation
- Identifier
- http://hdl.handle.net/1959.13/1339051
- Identifier
- uon:28169
- Identifier
- ISSN:1057-9249
- Language
- eng
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