Patient and physician perceptions of lung cancer care in a multidisciplinary clinic model

  • G. Linford Cancer Centre of Southeastern Ontario
  • R. Egan School of Nursing, Queen’s University
  • A. Coderre-Ball Office of Professional Development and Educational Scholarship, Queen’s University
  • N. Dalgarno Office of Professional Development and Educational Scholarship, Queen’s University
  • C. J.L. Stone Kingston Health Sciences Centre
  • A. Robinson Cancer Centre of Southeastern Ontario
  • D. Robinson
  • S. Wakeham Queen’s University
  • G. C. Digby Kingston Health Sciences Centre, Queen’s University, Cancer Centre of Southeastern Ontario, Health Sciences Centre
Keywords: quality of care, multidisciplinary model, process improvement, lung cancer, patient experience

Abstract

Background:  Lung cancer (LC) is a complex disease requiring coordination of multiple healthcare professionals. A recently implemented LC Multidisciplinary Clinic (MDC) at Kingston Health Sciences Centre, an academic tertiary care hospital, improved timeliness of oncology assessment and treatment. This study describes patient, caregiver, and physician experiences in the MDC.

Methods:  We qualitatively studied patient, caregiver, and physician experiences in a traditional siloed care model and in the MDC model. We used purposive sampling to conduct semi-structured interviews with patients and caregivers who received care in either model, and physicians who worked in both models. Thematic design was used to analyze data through open coding in Atlas-ti.

Results: Six of the 72 identified patients from the traditional model, and 6 of the 40 identified patients from the MDC model, participated. Caregivers were encouraged to join patient interviews. Eight of nine physicians who provided care in both models were interviewed (2 respirologists, 2 medical oncologists, 4 radiation oncologists). Four themes emerged: communication and collaboration, efficiency, quality of care, and impact on patient outcomes. Patients in both models had positive impressions of their care. MDC patients frequently reported convenience and a positive impact of family presence at appointments. Physicians reported that the MDC improved communication and collegiality, clinic efficiency, patient outcomes and satisfaction, and consistency of information provided to patients. Physicians identified lack of clinic space as an area for improvement in the MDC. 

Conclusions:  This exploratory study informs our understanding of the effects of change in a multidisciplinary healthcare delivery model by directly studying those involved.


Author Biographies

G. Linford, Cancer Centre of Southeastern Ontario
Department of Oncology
A. Coderre-Ball, Office of Professional Development and Educational Scholarship, Queen’s University

Faculty of Health Sciences

N. Dalgarno, Office of Professional Development and Educational Scholarship, Queen’s University

Faculty of Health Sciences

C. J.L. Stone, Kingston Health Sciences Centre
Department of Medicine
A. Robinson, Cancer Centre of Southeastern Ontario
Department of Oncology
S. Wakeham, Queen’s University
School of Medicine
G. C. Digby, Kingston Health Sciences Centre, Queen’s University, Cancer Centre of Southeastern Ontario, Health Sciences Centre
Division of Respirology, Department of Oncology, Department of Medicine
Published
2020-03-06
How to Cite
Linford, G., Egan, R., Coderre-Ball, A., Dalgarno, N., Stone, C. J., Robinson, A., Robinson, D., Wakeham, S., & Digby, G. C. (2020). Patient and physician perceptions of lung cancer care in a multidisciplinary clinic model. Current Oncology, 27(1). https://doi.org/10.3747/co.27.5499
Section
Integrative Oncology