TY - JOUR T1 - An integrated nursing care model for lung cancer patients JF - European Respiratory Journal JO - Eur Respir J VL - 44 IS - Suppl 58 SP - P1303 AU - P.K. Maggie Lit AU - K.H. Lee AU - P.S. Chow AU - W.M. Johnny Chan Y1 - 2014/09/01 UR - http://erj.ersjournals.com/content/44/Suppl_58/P1303.abstract N2 - Introduction Lung cancer is a leading cause of cancer death in Hong Kong. As a disease jointly managed by different disciplines, there is a need to improve the coordination of care. An integrated lung cancer case management program has commenced in our Hospital since Feb 2013 to facilitate the continuity of care in newly diagnosed lung cancer patients.Objective:To examine the role of lung cancer case manager (LCCM).Methodology: A retrospective study from 1 March 2012 to 30 September 2013. The pathway includes 5 key elements:(1)Patient triage;(2) Assistance in arranging diagnostic investigations;(3)Monitoring the progress and collaborating investigation results for multi-disciplinary team (MDT) case conference; (4) Making referrals and liaisons with various healthcare providers;(5) Continuous assessment, monitoring, education and support in nurse clinics.Results Ninety-two patients were diagnosed of lung cancer, predominantly male (62%) and metastases already noted in 76%. Only 15 patients (16%) underwent surgery. All were scheduled to nurse clinic with 195 episodes of attendances. Advancements of diagnostic investigations were facilitated for 14 patients. Liaison with the corresponding surgical LCCM for operative arrangements was done in 49 (52%). 7 (7.6%) were referred to social workers for counselling and financial support, 5 (5.4%) to dieticians for low BMI before surgical operation and chemotherapy, 1(1.1%) to clinical psychologist for critical stress management. 87 (94.5 %) patients acknowledged sufficient knowledge and expressed satisfaction on the service provision. Conclusion LCCM is a useful and cost-effective way to reduce the possible fragmentation of service provisions by MDT in the management of lung cancer. ER -