Improving breast care services in inner-Eastern Melbourne a collaborative approach

2002 ◽  
Vol 38 (11) ◽  
pp. S82-S83
Author(s):  
C Scott
Author(s):  
F. Lee Tucker ◽  
Teresa Heckel

Abstract: Improving the quality, affordability and accessibility of breast care in the USA remains a high priority among health care leadership, the lay public, and those in elected office. The formulation of public policy in the USA, including federal and state legislation, is informed by a wide variety of public and private advisory and advocacy interests. Private-sector advocacy groups positively influence access, public awareness, and research prioritization. Evolving breast-specific clinical and administrative leadership models have facilitated an emerging management focus on quantifiable attributes of service, professional performance, clinical outcomes, and value. The diversity of breast care delivery environments in the USA adds considerable complexity to the task of improving value and access to care. With robust merger and affiliation activity among hospitals and clinics, health systems and alliances are evolving regionally and nationally to provide performance-based breast-centric management models across diverse populations and geographies.


1997 ◽  
Vol 22 (3) ◽  
pp. 16-24
Author(s):  
Jeanne Liedtka ◽  
Elizabeth L. Whitten

2018 ◽  
pp. 1-13 ◽  
Author(s):  
Emily C. Wong ◽  
Celia P. Kaplan ◽  
Nickolas Dreher ◽  
Jimmy Hwang ◽  
Laura van’t Veer ◽  
...  

Purpose This study evaluated the use of an electronic Health Questionnaire System (HQS) within the University of California San Francisco Breast Care Center as a screening and triage tool to proactively recognize patients’ supportive care needs during new patient consultations and identify demographic characteristics associated with referrals to three supportive care services. Patients and Methods A total of 428 patients with and without breast cancer between the ages of 18 and 84 years completed HQS intake forms before appointments at the University of California San Francisco Breast Care Center between November 2014 and May 2015 and agreed to participate in this study. Patient HQS responses triggered referrals to supportive care services, and a review of electronic health records was conducted to determine the outcomes of these referrals. Results A total of 242 patients (56.5%) met criteria for at least one supportive care referral. Women with invasive breast cancer or ductal carcinoma in situ met criteria for supportive services more frequently than women without breast cancer diagnoses (76.9% v 23.8%; P < .001) and were most likely to receive referrals for genetic counseling (67.0%), psychological services (32.2%), and social services (12.1%). Multivariable logistic regression analysis showed that being married was associated with fewer referrals to social work (OR, 0.42; 95% CI, 0.21 to 0.81) and that those between 45 and 54 years of age were less likely to receive referrals to genetic counseling than those ≥ 55 years of age (OR, 0.41; 95% CI, 0.23 to 0.73). Among all referrals (n = 369), 26.8% resulted in completed appointments. Conclusion Using an automated intake form is an efficient way to identify and triage individuals in need of supportive care services and can provide insight into the populations with supportive care needs for targeted outreach.


1997 ◽  
Vol 22 (3) ◽  
pp. 16-24 ◽  
Author(s):  
Jeanne Liedtka ◽  
Elizabeth L. Whitten

2017 ◽  
Vol 2017 ◽  
pp. 1-11 ◽  
Author(s):  
Jamila Arrish ◽  
Heather Yeatman ◽  
Moira Williamson

This study explored the Australian midwives’ role in the provision of nutrition advice. Little is known about their perceptions of this role, the influence of the model of care, and the barriers and facilitators that may influence them providing quality nutrition advice to pregnant women. Semistructured telephone interviews were undertaken with a subsample (n=16) of the members of the Australian College of Midwives who participated in an online survey about midwives’ nutrition knowledge, attitudes, and their confidence in providing nutrition advice during pregnancy. Thematic descriptive analysis was used to analyse the data. Midwives believed they have a vital role in providing nutrition advice to pregnant women in the context of health promotion. However, this was not reflected in the advice many of them provided, which in many accounts was passive and medically directed. The extent and efficacy of their role appear to be challenged by many structural barriers. Midwives suggested facilitators that may assist in overcoming these challenges. Midwives need assistance, support, and guidance to provide holistic nutrition advice that assists women to achieve healthy pregnancies. A collaborative approach between midwifery bodies, nutrition and education experts, and maternity care services may provide an effective way forward.


2015 ◽  
pp. 97-104
Author(s):  
Julie M. Nightingale ◽  
Fred J. Murphy ◽  
Rita M. Borgen
Keyword(s):  

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