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The cancer journey: Informing choice23 June 2005 © Commonwealth of Australia 2005 |
View the report as a single document - (PDF 783KB)
View the report as separate downloadable parts:
| Membership of Committee | (PDF 127KB) |
| List of acronyms | (PDF 34KB) |
| Prologue | (PDF 18KB) |
| Recommendations | (PDF 36KB) |
| Chapter 1 - Introduction | (PDF 98KB) |
Terms of reference |
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| Chapter 2 - Role of the Commonwealth and state/territory governments | (PDF 79KB) |
| The Australian Health Care System Overview of health system funding Roles and responsibilities Commonwealth government State and Territory and local governments Private Sector Non-government sector Joint government policy forums Medical workforce Health Reform Agenda Working Group Coordination of cancer activities Expenditure on cancer National Service Improvement Framework for Cancer Strengthening Cancer Care Cancer Australia State and Territory Cancer Initiatives New South Wales - The Cancer Institute Victoria - Department of Human Services The development and implementation of the Cancer Services Framework The Fighting Cancer policy The Ministerial Taskforce for Cancer Establishment of Cancer Coordination Unit Western Australia - Department of Health Conclusion |
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| Chapter 3 - Improving cancer care in Australia | (PDF 434KB) |
| Traditional care model Referral issues Accreditation of cancer services and credentialing of practitioners Fragmentation of care Multidisciplinary Care Definitional Issues The situation overseas The situation in Australia National Breast Cancer Centre leading the way in multidisciplinary care The development of multidisciplinary care in Australia Palliative Care Conclusion Barriers to implementing multidisciplinary care A question of patient ownership Resistance to change Medical Benefits Scheme (MBS) Current Medicare provisions Workforce issues The cost of Multidisciplinary Care Rural and Indigenous Australians and multidisciplinary care Care coordination Breast Care Nurse Model Who is best placed to coordinate? The need for information Conclusion Psychosocial support Conclusion Cancer care in regional, rural and remote areas The way forward Video and Teleconferencing Travel and accommodation assistance schemes Cancer care for Indigenous Australians Problems with data quality Conclusion |
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| Chapter 4 - Complementary and alternative therapies | (PDF 185KB) |
| The great divide: conventional and complementary treatment Definitional issues Conclusion Prevalence and cost of complementary therapies What motivates people to use complementary therapies Comparisons with overseas practises Evidence for complementary therapies Research into and regulation of Complementary Therapies Safety and efficacy of complementary therapies Towards Integrative Medicine - Integrating complementary therapies and conventional medicine Providers of complementary therapies Moving to integration - from ideas into practice Information for cancer patients Regulation of complementary therapy practitioners Integrative medicine as practiced in Australia Complementary therapy services in the non-government sector Conclusion |
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| Chapter 5 - Other issues raised in the inquiry | (PDF 172KB) |
| Early detection through screening programs Access to free mammograms Access to free mammograms once diagnosed with breast cancer Access to breast prostheses and lymphoedema sleeves Access to PET scans for people with recurrent or advanced breast cancer Adolescent cancer care Research Clinical Trials Data Palliative care |
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| Chapter 6 - Future directions for cancer care in Australia | (PDF 87KB) |
| Diagnosis and referral Referral guidelines Empowering cancer patients through provision of information The need for support Improving delivery of services and treatment options Development of multidisciplinary care Measures to increase the practice of multidisciplinary care in Australia Multidisciplinary care needs to be better supported by the health system Accreditation of cancer services and credentialing of practitioners A multidisciplinary team must include non medical health providers National adoption of clinical guidelines Conclusion Improving care co-ordination Improving access to psychosocial care The need for information during the cancer journey The needs of regional and Indigenous Australians Complementary therapies The need for more information on complementary therapies Towards Integrative Medicine The need for more investment in research into complementary therapies Palliative care Conclusion |
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| Appendix 1 | (PDF 119KB) |
| List of public submissions, tabled documents and other additional information authorised for publication by the Committee | |
| Appendix 2 | (PDF 44KB) |
| Witnesses who appeared before the Committee at public hearings | |
| Appendix 3 | (PDF 25KB) |
| Government and non-Government organisations involved in cancer treatment or support | |
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