The main strengths and weaknesses of cancer care models

Cancer care modelsStrengthsWeaknesses
Sequential referral model

  • Standard and well documented model of care

  • Quick decision-making

  • Reflects only the physician’s point of view

  • Difficulties identifying specialists/providers to refer the patients

  • Often referring physician did not receive the consultation report back from the specialist following the referral

  • The process is not very efficient due to multiple unnecessary referrals which not add value

  • Greater probability of non-adherence to guidelines

  • Waste of time

  • Difficult coordination with other specialists

  • Misdiagnosis or ill-treatment

  • Poor patient satisfaction

Multidisciplinary meeting model

  • Current model of interdisciplinary care

  • MDT decisions replace the physician’s individual perspective

  • Emphasizes patient-centered care

  • Shorter time-frames from diagnosis to treatment

  • Greater probability of adherence to evidence-based guidelines

  • Careful consideration for inclusion in clinical trials

  • Contributes to the staff’s wellbeing

  • Better communication within the team

  • Improves job satisfaction

  • Helps to identify and manage different MDT risk factors

  • May increase survival rates

  • Improves patient satisfaction and quality of life

  • Time consuming

  • Possible disagreements and antagonism

  • Difficulty supervising post-discussion care

Multidisciplinary clinics model

  • Emerging model

  • Promotes coordinated and integrated patient care

  • Rapid access to lung cancer specialists

  • Continuity of care

  • Possibility to evaluate the patient in person

  • Might integrate the services of other professionals (nurses, social workers, pharmacists, etc.)

  • Fewer unnecessary delays from diagnosis to initiation of treatment

  • Better communication among team members

  • Increased diagnostic accuracy

  • Adherence to national/international guidelines

  • Improves clinical and financial outcomes, reducing healthcare costs

  • Requires a dedicated physical space

  • Some services may be performed by tertiary centres, forcing patients to travel long distances

  • Organizational effort to schedule patient appointments