Poster Presentation Clinical Oncology Society of Australia Annual Scientific Meeting 2024

  Implementation of in-home cancer survivorship model of person-centred care for South Gippsland Shire and Surrounds (#459)

Donna O'Callaghan 1 , Tanya Cook 2 , Kylie Ashton 2 , Stewart Harper 1
  1. Gippsland Regional Integrated Cancer Service, Traralgon West, VICTORIA, Australia
  2. Gippsland Southern Healthcare Service, Leongatha, Victoria, Australia

Background

Cancer survivorship needs are increasing as cancer detection and treatment options improve, and our population ages. A lack of survivorship care in South Gippsland limits patient access to post-cancer treatment care.

 

Aims  

Gippsland Southern Health Service (GSHS) aims to enhance health outcomes and treatment experiences for Gippsland cancer patients via implementation of a Survivorship Clinic.

 

Method

  • Tailored model of survivorship care developed for South Gippsland cancer patients, involving key stakeholders to ensure high-quality survivorship care.
  • A referral pathway supported by Latrobe Regional Health allows both self and clinician referrals.
  • A nurse-led survivorship program developed with flexible service delivery, including in-home visits due to limited public transport.
  • Educational support provided by ACSC, LRH, GRICS, and EVIQ.

Results

Since its commencement in mid-February 2024, the project received 20 referrals.

  • 100% of patients received at least one in-person visit, with follow-ups tailored to their supportive care needs, in outpatient clinics, at home, or phone.
  • Home and telehealth appointments reduced travel burdens and costs, with positive feedback from patients and carers.
  • Introduction of a cancer survivorship nurse in South Gippsland provided patients a contact for assessment, education and support.
  • Improved and timely access to referrals, re-introduction to Gippsland Oncology Service, local multidisciplinary care, and online supports for managing long-term side-effects.

Conclusion 

Survivorship clinics in regional Victoria are a necessary component of person-centred cancer care.  Offering in-home appointments improved access to survivorship care for those with limited public transport. Linking patients with local supportive care services reduced travel to Melbourne or tertiary health services.  Patients reported improvements in support, highlighting the benefits this clinic in the South Gippsland LGA.