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Journal Title: Measuring the quality of cancer care in the Barwon South Western region, Victoria, Australia
Authors: Matheson, Leigh M.
Pitson, Graham
Yap, Cheng H.
Singh, Madhu
Collins, Ian M.
Campbell, Philip
Patrick, Alison
Rogers, Margaret J.
SWH Author: Collins, Ian M.
Keywords: Breast Neoplasms
Lung Neoplasms
Retrospective Studies
Rural Population
Clinical Quality Indicators
Health Service
Patient Care
Treatment Pathways
Issue Date: 2021
Date Accessioned: 2023-03-17T04:57:04Z
Date Available: 2023-03-17T04:57:04Z
Accession Number: 33196785
Description Affiliation: Barwon South Western Regional Integrated Cancer Services, 70 Swanston Street, Geelong, VIC 3220, Australia.
Andrew Love Cancer Centre, 70 Swanston Street, Geelong, VIC 3220, Australia.
Cardiothoracic Surgery, University Hospital Geelong, Geelong, VIC 3220, Australia.
Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Dept of Oncology, South West Healthcare, Warrnambool, VIC 3280, Australia and.
School of Medicine, Deakin University, Geelong, VIC 3216, Australia.
Source Volume: 33
Issue Number: 1
Database: Medline
Notes: eng
Int J Qual Health Care. 2021 Feb 20;33(1). pii: 5983668. doi: 10.1093/intqhc/mzaa145.
DOI: 10.1093/intqhc/mzaa145
Date: Feb 20
Abstract: OBJECTIVE: The implementation of clinical quality indicators for monitoring cancer care in regional, rural and remote areas. DESIGN: Retrospective data from a population-based Clinical Quality Registry for lung, colorectal and breast cancers. SETTING: All major health services in the Barwon South Western region, Victoria, Australia. PARTICIPANTS: All patients who were diagnosed with cancer and who presented to a health service. INTERVENTION(S): Clinical subgroups to review variations. MAIN OUTCOME MEASURES(S): Clinical quality indicators for lung, colorectal and breast cancers. RESULTS: Clinical indicators included the following: discussion at multidisciplinary meetings, the timeliness of care provided and the type of care for different stages of the disease and survival outcomes. Many of the derived clinical indicator targets were reached. However, variations led to an improvement in the tumour stage being recorded in the medical record; an improved awareness of the need for adjuvant chemotherapy for colorectal cancer; a reduction in time to treatment for lung cancer and a reduced time to surgery for breast cancer, and the 30-day mortality post-treatment for all of the tumour streams was highlighted. CONCLUSIONS: Clinical quality indicators allow for valuable insights into patterns of care. These indicators are easily reproduced and may be of use to other cancer centres and health services.
Journal Title: International Journal of Quality in Health Care
Type: Journal Article
Appears in Collections:SWH Staff Publications

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