Formal shared-care agreements between oncology and family doctors, with same-day e-consult
Family doctors often do not know who is responsible for a cancer patient's blood pressure, diabetes or new symptom. Written agreements plus a same-day electronic question line to the oncologist would fill the gap.
During active treatment, primary care is often sidelined; after treatment, oncology withdraws and primary care is unclear about what to monitor. Formal shared-care agreements defining who manages what, combined with electronic consultation channels with a same-day response target, have improved coordination in other chronic diseases. Applying them systematically in oncology would reduce emergency visits and duplicated or missed care.
- Fragmented care and guideline gaps · Patients fall between specialists, wait for referrals and often do not get the treatment guidelines say they should.
- Older and multimorbid patients are excluded and undertreated · Most people with cancer are over 65 but most trial patients are younger and fitter. We guess how to treat the majority.
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not linked directly; found by shared links- IdeaA standard handoff with medication reconciliation at every cancer care transition
Shares Older and multimorbid patients are excluded and undertreated, Fragmented care and guideline gaps.
- IdeaHome administration of selected chemotherapy and immunotherapy for older and frail patients
Shares Older and multimorbid patients are excluded and undertreated, Fragmented care and guideline gaps.
- IdeaA defined pathway for patients with both dementia and cancer
Shares Older and multimorbid patients are excluded and undertreated, Fragmented care and guideline gaps.
- IdeaHospital-at-home for oncology: treating low-risk febrile neutropenia and dehydration at home
Shares Older and multimorbid patients are excluded and undertreated, Fragmented care and guideline gaps.