708 posters, 8 topics, 16 sessions, 1,190 authors, 600 institutions
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ISQua's 39th International Conference 2023
August 27 - 30, 2023 | Seoul, Republic of Korea
P718
MEASURING THE QUALITY OF SKIN CANCER MANAGEMENT IN PRIMARY CARE: A SCOPING REVIEW
Poster Presenter
Authors
Samantha SPANOS, Nehal Singh, Bela I Laginha, Gaston Arnolda, David Wilkinson, Andrea L Smith, Anne E Cust, Jeffrey Braithwaite, Frances Rapport
Affiliations
Australian Institute of Health Innovation, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia; National Skin Cancer Centres, South Brisbane, Queensland, Australia, The Daffodil Centre, University of Sydney, a joint venture with Cancer Council NSW, Sydney, New South Wales, Australia, The Daffodil Centre, University of Sydney, a joint venture with Cancer Council NSW, Sydney, New South Wales, Australia; Melanoma Institute Australia, The University of Sydney, Sydney, New South Wales, Australia
Part of Topic
Patient Safety & Quality Improvement
Skin cancer in primary care: How is quality measured?
INTRODUCTION
Skin cancer is a growing global problem.
• Many skin cancers can be managed entirely within primary care1.
• General practitioners receive little guidance on how to manage skin cancer
– leading to variations in the quality of care they provide2.
• Quality of care can be improved with the use of quality measures targeting these domains of care: structure, process, outcome
AIM
To explore how quality has been measured for skin cancer management in primary care.
METHODS
How has quality of care been measured in the literature?
1. Searched six academic databases
2. Selected skin cancer, primary care focused articles
3. Extracted structure, process, and outcome quality measures
4. Analysed groups of quality measurement within each domain
RESULTS
Skin cancer care quality has been measured across 13 areas:
STRUCTURE: diagnostic tools, education & training, diagnostic protocols, treatment protocols
PROCESS: prevention, diagnosis, delays in care, treatment, inter-personal
OUTCOME: treatment complication, patient-reported measures, post-treatment recurrence, morbidity & mortality
CONCLUSIONS
- Skin cancer care processes have been measured more than care structures or outcomes.
- Links between specific structures, processes and outcomes of care need to be better understood.
- Quality indicators can be developed and implemented in these key areas to improve quality of care.