Figure 1
Integrated Skin Cancer Model EMR – electronic medical record.
Table 1
Conditions contributing to the success of the integrated model.
| CONDITION | CONTRIBUTION TO SUCCESS |
|---|---|
| GP education program | Upskilling a primary care workforce to enable quicker and more affordable access |
| Recruitment of specialists | Providing ongoing specialist input for management of more complex disease. Resource for primary care workforce to continue to upskill |
| Geographic co-location | Enables real time professional integration. Easier for patients to access clinical, diagnostic and treatment services |
| Government support | Alignment of policy and funding drivers and support of healthcare administration |
| Cross funding through procedural and private sector investment | Financial sustainability and means of scaling the model |
| Risk stratification of patients | Targeting of population at risk and better screening for and prevention of disease |
Table 2
Summary of Integrated and Non-Integrated patients in March 2017 and 2018.
| MARCH 2017 | NON-INTEGRATED | INTEGRATED |
|---|---|---|
| N | 61 | 119 |
| Age (years) | 57.3 (22–83) | 59.9 (19–89) |
| M:F | 1.31:1 | 1.28:1 |
| Median (95% CI) | 54 (52,56) | 7 (6,7) |
| Mean (95%CI) | 53.1 (50.6,55.7) | 5.9 (5.4,6.3) |
| p value* | <0.0001 | |
| March 2018 | ||
| N | 49 | 125 |
| Age (years) | 57.9 (19–89) | 58.6 (21–92) |
| M:F | 1.35:1 | 1.33:1 |
| Median (95% CI) | 46 (42,48) | 7 (6,7) |
| Mean (95%CI) | 44.0 (42.0,46.0) | 6.7 (6.3,7.2) |
| p value* | <0.0001 |
Figure 2
Kaplan-Meier Plot – Waiting time for Consultation.
Figure 3
Kaplan-Meier Plot – Waiting time for Treatment.
Figure 4
Histopathology from skin lesions excised by GPs in the integrated skin cancer service 2018–2021.