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THE FAMILY PRACTICE ONCOLOGY NETWORK. Supporting Family Physicians in Providing Care to a Complex Patient Population in our Communities. Pressures. Increasing level of complexity of patients in our communities (bed closures, ageing) Prevalence of complex diseases, including cancer, increasing
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THEFAMILYPRACTICEONCOLOGYNETWORK Supporting Family Physicians in Providing Care to a Complex Patient Population in our Communities
Pressures • Increasing level of complexity of patients in our communities (bed closures, ageing) • Prevalence of complex diseases, including cancer, increasing • Increasing quantities of information and patient expectations
Pressures (Cont’d) • Recent study suggests that 5% of our resources are consumed by 30% of the population • Survey suggests that 78% of family physicians feel that the time required, and 62% cite the compensation for care of complex patients are significant barriers • Decreasing number of family physicians involved with complex patient care
What is Needed • Increased focus on the needs of complex patients in the community • Family physicians a natural choice but we need to begin to address the barriers (time, remuneration, information support, time off)
A Partnership – BCCA & Family Physicians • BCCA showing leadership in this area through creation of the FPON • Beginning to shed light on barriers to complex disease in the community • Willing to shift organizational focus to support care of complex patients in the community • Willing to advocate for appropriate changes in family practice environment to facilitate such care
Broader Issues • Cancer is not the only complex disease in the community • Infrastructure and methodology to improve care of cancer patients can be applicable to other health concerns requiring longitudinal care • CVD, Mental Health, Diabetes, Pediatrics, Women’s Health, Disease Prevention, etc
FPON Drivers • Preceptorship program • Practice Engagement and Support Task Group in Oncology (PESTO)
PESTO • Clarify barriers to complex disease care • Identify parameters of practice which require alteration in order to support such care • IT • Remuneration • Association with other health care providers: specialist, nurses, dieticians, psychologists
PESTO (Cont’d) • Rethink patient needs through creation of patient journeys • Identify interventions required • Identify most appropriate way to meet patient’s need (Family Physician, Oncologist, Nurse, Psychologist, Patient Resources, etc.)
PESTO (Cont’d) • Identify and create, or advocate for, changes required to support providers in fulfilling expectations placed upon them • Practical way to understand appropriate roles for various providers
Working Together • Opportunity for Family Physicians to work with a tertiary care organization to improve quality of care and the professional life of those involved • Opportunity for family physicians to be supported in caring for patients in longitudinal fashion, take on special interest if they so choose
Evolution • We all know that Family Practice, and the health care system, are going through change • Chance to be involved with guiding that change and reinventing Family Practice
THANKS! • To BCCA for their leadership • To all of you in attendance • Comments