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|Title:||Factors associated with referral offer and acceptance following supportive care problem identification in a comprehensive cancer service.|
|Authors:||Skaczkowski, Gemma;Sanderson, Penelope;Shand, Melissa;Byrne, Amanda;Wilson, Carlene J|
|Affiliation:||Olivia Newton John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Victoria, Australia|
North Eastern Melbourne Integrated Cancer Service, Melbourne, Vic., Australia
School of Psychology & Public Health, La Trobe University, Bundoora, Vic., Australia
|Citation:||European journal of cancer care 2018: e12869|
|Abstract:||To improve understanding of the triage process following distress and problem identification and the factors associated with offer and acceptance of supportive care referrals. Review of patient records/charts at a metropolitan hospital in Melbourne, Australia. Data were collected on problem identifications from 1/1/13 to 30/6/14, including patient demographics, disease and treatment information, responses to the NCCN Distress Thermometer (DT) and Problem Checklist (PC), whether referrals to supportive care services were offered and accepted/declined. Logistic regressions examined factors associated with referral offer and acceptance. Of patients completing the DT/PC, 50.1% reported a high level of distress. Overall, 61% of patients were offered referral(s), with the majority (71%) being accepted. Referrals were more likely to be offered to patients with a greater number of problems (Odds Ratio[OR] = 1.18, 95%CI = 1.12-1.25) and higher distress (OR = 1.68, 95%CI = 1.07-2.64). Referrals were more likely to be accepted by patients with a greater number of problems (OR = 1.12, 95%CI = 1.06-1.19) and lower distress (OR = 0.58, 95%CI = 0.34-1.00). The type of problem experienced by the patient was strongly related to the type of referral they were offered. At a large metropolitan hospital with in-house supportive care services, simple problem identification with the DT/PC enabled triage to services that reflected patients' needs. The findings suggest that clear referral pathways and an organisational emphasis on supportive care may facilitate service use.|
|Appears in Collections:||Journal articles|
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