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Restructuring Skin Cancer Care in Ontario: A Provincial Plan

There is a global rise in skin cancer incidence, resulting in an increase in patient care needs and healthcare costs. To optimize health care planning, costs, and patient care, Ontario Health developed a provincial skin cancer plan to streamline the quality of care. We conducted a systematic review...

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Autores principales: Milkovich, John, Hanna, Tim, Nessim, Carolyn, Petrella, Teresa M., Weatherhead, Louis, Chan, An-Wen, Irish, Jonathan C., Murray, Christian, Bannerman, Grace, Holloway, Claire, Forster, Katharina, Pazzano, Laura, Wright, Frances C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8025818/
https://www.ncbi.nlm.nih.gov/pubmed/33809399
http://dx.doi.org/10.3390/curroncol28020114
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author Milkovich, John
Hanna, Tim
Nessim, Carolyn
Petrella, Teresa M.
Weatherhead, Louis
Chan, An-Wen
Irish, Jonathan C.
Murray, Christian
Bannerman, Grace
Holloway, Claire
Forster, Katharina
Pazzano, Laura
Wright, Frances C.
author_facet Milkovich, John
Hanna, Tim
Nessim, Carolyn
Petrella, Teresa M.
Weatherhead, Louis
Chan, An-Wen
Irish, Jonathan C.
Murray, Christian
Bannerman, Grace
Holloway, Claire
Forster, Katharina
Pazzano, Laura
Wright, Frances C.
author_sort Milkovich, John
collection PubMed
description There is a global rise in skin cancer incidence, resulting in an increase in patient care needs and healthcare costs. To optimize health care planning, costs, and patient care, Ontario Health developed a provincial skin cancer plan to streamline the quality of care. We conducted a systematic review and a grey literature search to evaluate the definitions and management of skin cancer within other jurisdictions, as well as a provincial survey of skin cancer care practices, to identify care gaps. The systematic review did not identify any published comprehensive skin cancer management plans. The grey literature search revealed skin cancer plans in isolated regions of the United Kingdom (U.K.), National Institute for Health and Care Excellence (NICE) guidelines for skin cancer quality indicators and regional skin cancer biopsy clinics, and wait time guidelines in Australia and the U.K. With the input of the Ontario Cancer Advisory Committee (CAC), unique definitions for complex and non-complex skin cancers and the appropriate cancer services were created. A provincial survey of skin cancer care yielded 44 responses and demonstrated gaps in biopsy access. A skin cancer pathway map was created and a recommendation was made for regional skin cancer biopsy clinics. We have created unique definitions for complex and non-complex skin cancer and a skin cancer pathways map, which will allow for the implementation of both process and performance metrics to address identified gaps in care.
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spelling pubmed-80258182021-04-08 Restructuring Skin Cancer Care in Ontario: A Provincial Plan Milkovich, John Hanna, Tim Nessim, Carolyn Petrella, Teresa M. Weatherhead, Louis Chan, An-Wen Irish, Jonathan C. Murray, Christian Bannerman, Grace Holloway, Claire Forster, Katharina Pazzano, Laura Wright, Frances C. Curr Oncol Article There is a global rise in skin cancer incidence, resulting in an increase in patient care needs and healthcare costs. To optimize health care planning, costs, and patient care, Ontario Health developed a provincial skin cancer plan to streamline the quality of care. We conducted a systematic review and a grey literature search to evaluate the definitions and management of skin cancer within other jurisdictions, as well as a provincial survey of skin cancer care practices, to identify care gaps. The systematic review did not identify any published comprehensive skin cancer management plans. The grey literature search revealed skin cancer plans in isolated regions of the United Kingdom (U.K.), National Institute for Health and Care Excellence (NICE) guidelines for skin cancer quality indicators and regional skin cancer biopsy clinics, and wait time guidelines in Australia and the U.K. With the input of the Ontario Cancer Advisory Committee (CAC), unique definitions for complex and non-complex skin cancers and the appropriate cancer services were created. A provincial survey of skin cancer care yielded 44 responses and demonstrated gaps in biopsy access. A skin cancer pathway map was created and a recommendation was made for regional skin cancer biopsy clinics. We have created unique definitions for complex and non-complex skin cancer and a skin cancer pathways map, which will allow for the implementation of both process and performance metrics to address identified gaps in care. MDPI 2021-03-12 /pmc/articles/PMC8025818/ /pubmed/33809399 http://dx.doi.org/10.3390/curroncol28020114 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Milkovich, John
Hanna, Tim
Nessim, Carolyn
Petrella, Teresa M.
Weatherhead, Louis
Chan, An-Wen
Irish, Jonathan C.
Murray, Christian
Bannerman, Grace
Holloway, Claire
Forster, Katharina
Pazzano, Laura
Wright, Frances C.
Restructuring Skin Cancer Care in Ontario: A Provincial Plan
title Restructuring Skin Cancer Care in Ontario: A Provincial Plan
title_full Restructuring Skin Cancer Care in Ontario: A Provincial Plan
title_fullStr Restructuring Skin Cancer Care in Ontario: A Provincial Plan
title_full_unstemmed Restructuring Skin Cancer Care in Ontario: A Provincial Plan
title_short Restructuring Skin Cancer Care in Ontario: A Provincial Plan
title_sort restructuring skin cancer care in ontario: a provincial plan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8025818/
https://www.ncbi.nlm.nih.gov/pubmed/33809399
http://dx.doi.org/10.3390/curroncol28020114
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