Table 1 Active ingredients of the EMINENT model of care intervention for patients allocated to receive the EMINENT intervention
Active ingredient | Personnel involved | Specific activities |
|---|---|---|
Nurse Clinic (30–60 min) Mode: face to face or telehealth | Specialist Cancer Nursea and patient | • Treatment summary • Survivorship care planning • Collaborative planning for health goals • Post-treatment education |
Booster Nurse Clinicb (10–30 min) Mode: face to face or telehealth | Specialist Cancer Nursea and patient | • Survivorship care planning • Collaborative planning for health goals |
Pharmacist Consultationc (20 min) Mode: face to face or telehealth | Cancer Pharmacist and patient | • Medication reconciliation • Medication education |
Case conference with GP (5–30 min) Mode: teleconference | Specialist Cancer Nursea and GP (± one more healthcare team member) | • Nurse presents treatment summary and survivorship care plan • Follow-up responsibilities of the GP negotiated • GP questions answered • Additional education and support provided to other healthcare team members (e.g. Practice Nurse) |
Shared follow-up care Mode: face to face or telehealth | Cancer specialist, GP, and Specialist Cancer Nursea and patient | • Cancer specialist reviews patient, orders mammogram, and completes full physical examination every 6 months for 2 years post-diagnosis, then every 12 months up to 5 years post-diagnosis • GP reviews patient as per survivorship care plan at least every 12 months (e.g. for general health and comorbidity management, chronic disease management planning, psychosocial screening, management of cancer treatment toxicities and cancer-related symptoms, allied health referrals) • GP contacts nurse interventionist with any patient concerns |