2024 World Conference on Lung Cancer (WCLC) - Posters-P2.17B.02 Healthcare Providers' Perceptions of Barriers and Enablers to Adopting New Surveillance Protocols

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The document discusses a study on healthcare providers' perceptions of barriers and enablers to adopting new surveillance protocols for lung cancer patients in Aotearoa/New Zealand. Semi-structured interviews with 20 healthcare professionals, including oncologists, clinicians, nurses, and Māori health navigators, informed the analysis. The study applies a Micro-Meso-Macro analytical framework to identify factors impacting protocol adoption at the patient, institutional, and policy levels.<br /><br />### Key Findings:<br /><br />**Micro-level (Patient and Clinician) Barriers:**<br />- Financial constraints hinder patient follow-ups.<br />- Overwhelming information delivery complicates patient understanding.<br />- The existing doctor-centered model limits patient autonomy and consumes significant resources with low value.<br />- Clinician capacity is stretched, leaving little room for new care models.<br /><br />**Meso-level (Healthcare Institution) Barriers:**<br />- Geographical and infrastructural challenges like regional variation and travel obstacles.<br /><br />**Macro-level (Health Policy) Barriers:**<br />- Inadequate clinic, radiology, and diagnostic capacity.<br />- IT and technological limitations for both patients and providers.<br /><br />**Micro-level Enablers:**<br />- Trusted relationships and robust communication between providers and patients are crucial.<br /><br />**Meso-level Enablers:**<br />- Supportive roles like navigators and psychosocial oncology.<br />- Local delivery models such as telehealth, nurse-led clinics, virtual clinics, and primary care involvement are effective.<br /><br />### Recommendations:<br />Flexibility in care models, integrating supportive care roles, and educating primary care providers on oncology pathways are vital. Strategies focusing on equity, building connections, and enabling local care access are endorsed. The importance of co-designing models of care with Māori communities to ensure accessibility and connectivity to healthcare providers was highlighted.<br /><br />The study underscores the necessity of alternative models of care to accommodate the growing number of diagnosed cancer cases amidst resource constraints.

Asset Subtitle

Anne Fraser

Meta Tag

Speaker Anne Fraser

Topic Global Health, Health Services & Health Economics

Keywords

healthcare providers

lung cancer

Aotearoa

New Zealand

barriers

enablers

surveillance protocols

Māori health

Micro-Meso-Macro framework

oncology pathways