Improving supportive care for women with breast cancer in Australia: The challenge of modifying health systems
Identifieur interne : 001905 ( Istex/Corpus ); précédent : 001904; suivant : 001906Improving supportive care for women with breast cancer in Australia: The challenge of modifying health systems
Auteurs : Sally Redman ; Jane Turner ; Cindy DavisSource :
- Psycho‐Oncology [ 1057-9249 ] ; 2003-09.
Abstract
Although the benefits of many psychosocial support strategies in improving well being in women with breast cancer have been demonstrated, few women receive these programs as part of routine care. This paper provides some recommendations, based on experience in Australia, about how access to evidence‐based supportive care strategies might be improved through modification of health systems. It demonstrates the paucity of research about the costs and health service implications of psychosocial support strategies, which is vital to health planning and service delivery change. It outlines the systematic approach taken in Australia to improving psychosocial support nationally by: the development of research reviews; preparation of guidelines about supportive care; implementation of programs to foster the adoption of guidelines through modification of policy, health service delivery and clinician training; and monitoring programs. Coalitions of government, health care professionals and consumers are key to effective lobbying for change. If all women with breast cancer are to receive better supportive care, there is a need for approaches which: refocus the research effort in psycho‐oncology; develop more strategic approaches to generating change in health systems and health policy and foster partnerships to advocate for improved resources. Copyright © 2003 John Wiley & Sons, Ltd.
Url:
DOI: 10.1002/pon.690
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ISTEX:3632288DC52DF7971D4F46266267BFBC5548C455Le document en format XML
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role="corresp"><persName><forename type="first">Sally</forename><surname>Redman</surname></persName><affiliation>National Breast Cancer Centre, Sydney, Australia<address><country key="AU"></country></address></affiliation><affiliation>National Breast Cancer Centre, Sydney, Australia</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Jane</forename><surname>Turner</surname></persName><affiliation>University of Queensland, Brisbane, Australia<address><country key="AU"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Cindy</forename><surname>Davis</surname></persName><affiliation>University of Tennessee, USA<address><country key="US"></country></address></affiliation></author><idno type="istex">3632288DC52DF7971D4F46266267BFBC5548C455</idno><idno type="DOI">10.1002/pon.690</idno><idno type="unit">PON690</idno><idno type="toTypesetVersion">file:PON.PON690.pdf</idno></analytic><monogr><title level="j" type="main">Psycho‐Oncology</title><title level="j" type="alt">PSYCHO-ONCOLOGY</title><idno type="pISSN">1057-9249</idno><idno type="eISSN">1099-1611</idno><idno type="book-DOI">10.1002/(ISSN)1099-1611</idno><idno type="book-part-DOI">10.1002/pon.v12:6</idno><idno type="product">PON</idno><imprint><biblScope unit="vol">12</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="521">521</biblScope><biblScope unit="page" to="531">531</biblScope><biblScope unit="page-count">11</biblScope><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2003-09"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p>Although the benefits of many psychosocial support strategies in improving well being in women with breast cancer have been demonstrated, few women receive these programs as part of routine care. This paper provides some recommendations, based on experience in Australia, about how access to evidence‐based supportive care strategies might be improved through modification of health systems.</p><p>It demonstrates the paucity of research about the costs and health service implications of psychosocial support strategies, which is vital to health planning and service delivery change. It outlines the systematic approach taken in Australia to improving psychosocial support nationally by: the development of research reviews; preparation of guidelines about supportive care; implementation of programs to foster the adoption of guidelines through modification of policy, health service delivery and clinician training; and monitoring programs. Coalitions of government, health care professionals and consumers are key to effective lobbying for change. If all women with breast cancer are to receive better supportive care, there is a need for approaches which: refocus the research effort in psycho‐oncology; develop more strategic approaches to generating change in health systems and health policy and foster partnerships to advocate for improved resources. 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This paper provides some recommendations, based on experience in Australia, about how access to evidence‐based supportive care strategies might be improved through modification of health systems. It demonstrates the paucity of research about the costs and health service implications of psychosocial support strategies, which is vital to health planning and service delivery change. It outlines the systematic approach taken in Australia to improving psychosocial support nationally by: the development of research reviews; preparation of guidelines about supportive care; implementation of programs to foster the adoption of guidelines through modification of policy, health service delivery and clinician training; and monitoring programs. Coalitions of government, health care professionals and consumers are key to effective lobbying for change. If all women with breast cancer are to receive better supportive care, there is a need for approaches which: refocus the research effort in psycho‐oncology; develop more strategic approaches to generating change in health systems and health policy and foster partnerships to advocate for improved resources. Copyright © 2003 John Wiley & Sons, Ltd.</abstract><relatedItem type="host"><titleInfo><title>Psycho‐Oncology</title><subTitle>Journal of the Psychological, Social and Behavioral Dimensions of Cancer</subTitle></titleInfo><titleInfo type="abbreviated"><title>Psycho‐Oncology</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>Research Article</topic></subject><identifier type="ISSN">1057-9249</identifier><identifier type="eISSN">1099-1611</identifier><identifier type="DOI">10.1002/(ISSN)1099-1611</identifier><identifier type="PublisherID">PON</identifier><part><date>2003</date><detail type="volume"><caption>vol.</caption><number>12</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>521</start><end>531</end><total>11</total></extent></part></relatedItem><identifier type="istex">3632288DC52DF7971D4F46266267BFBC5548C455</identifier><identifier type="DOI">10.1002/pon.690</identifier><identifier type="ArticleID">PON690</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2003 John Wiley & Sons, Ltd.</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>John Wiley & Sons, Ltd.</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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