Melanoma shared care. A tripartite approach for survival, the patient, their GP and their specialist — ASN Events

Melanoma shared care. A tripartite approach for survival, the patient, their GP and their specialist (#201)

Martin Haskett 1 , Colleen P. Berryman 2 , Tracey Tobias 2
  1. Victorian Melanoma Service, The Alfred, Melbourne, VIC, Australia
  2. Southern Melbourne Integrated Cancer Service, East Bentleigh, VIC, Australia
The combination of the high incidence of melanoma in Australia and the increasing survival rates (currently over 90%) means that there are increasing numbers of melanoma survivors in the Australian population whose healthcare needs can be safely and effectively provided using a shared care model.  The project aim was to develop a model for long term care of survivors of malignant melanoma, incorporating patient self-management, general practice/specialist shared care, continuous supportive care screening, patient and family centred long term care planning and electronic reminders.  Project participants were melanoma survivors (n=104), completing evaluation of the interventions at 3 months (3m n=44) and 9 months (9m n=34).  All evaluations were completed using SurveyMonkey® software. Resources developed for and evaluated by the project participants included a personal melanoma diary, individualised risk stratified shared care treatment and surveillance pathways, automated electronic self-examination and supportive care reminders. An active learning module was designed to further develop general practitioner (n=8) confidence to diagnose and manage melanoma and survivorship issues in general practice.  Personal utilisation of the diary was high with over 70% utilisation recorded in both rounds of evaluation (3m n=34, 9m n=28).  Participants who valued the information and resources provided (3m n=34, 9m n=28), participants who felt actively involved in decisions regarding their care (3m n=35, 9m n=28).  Using a likert scale, general practitioners (n=7) evaluated the overall quality of education provided to them through their participation in the melanoma active learning module as excellent.   This pilot demonstrated that patients can be fully educated regarding their individual prognosis and empowered to confidently self-manage their survivorship needs, when provided with individualised risk stratified surveillance plans and the engagement of general practice in shared care arrangements.
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