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A regional programme to improve skin cancer management

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Resource type
Journal Article
Authors/contributors
Title
A regional programme to improve skin cancer management
Abstract
BACKGROUND AND CONTEXT: In 2008, public specialist and general practice services in Canterbury were unable to manage demand for skin cancer treatment. Local clinicians decided the solution was to develop a see-and-treat skin excision clinic staffed by plastic surgeons and general practitioners (GPs), and the introduction of subsidised excisions in general practice. This paper describes the collaboration between clinicians, managers and funders and the results and quality management measures of these initiatives.
Publication
Journal of Primary Health Care
Volume
7
Issue
4
Pages
339
Date
2015
Journal Abbr
J Prim Health Care
Language
en
DOI
10.1071/HC15339
ISSN
1172-6156
URL
https://doi.org/10.1071/HC15339
Accessed
11/27/19, 8:36 PM
Library Catalog
DOI.org (Crossref)
Notes

Study topic:
Evaluation of a coordinated programme in Canterbury, New Zealand, to improve skin cancer management through collaboration between general practitioners and plastic surgeons.

Study type:
Programme implementation and evaluation (descriptive study with audit data)

Key findings:

  • A regional skin lesion programme in Canterbury shifted management of low-complexity skin cancers from hospital to general practice, reducing hospital waiting times from 11–12 months to 3–4 months.
  • Over 2400 lesion excisions were performed annually under the programme, with improved malignant lesion detection rates and excision completeness.
  • The programme included clinical governance, upskilling of GPs, public funding of GP minor surgery, and regular audit and feedback.
  • A joint see-and-treat clinic involving GPs and plastic surgeons fostered mutual learning, improved triage, and efficient treatment.
  • HealthPathways provided guidance on referral, biopsy techniques, follow-up protocols, and included multimedia resources to support clinical decision-making and education.
Citation
McGeoch, G., Sycamore, M., Shand, B., & Simcock, J. (2015). A regional programme to improve skin cancer management. Journal of Primary Health Care, 7(4), 339. https://doi.org/10.1071/HC15339
Topic
Link to this record
https://researchbibliography.healthpathwayscommunity.org/bibliography/P2BB5L96