Analysis of Cancer Control Program: PUBH6007 Needs Assessment Report

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This report provides a comprehensive needs assessment for a cancer control program in Australia, addressing the critical need for effective strategies to combat the rising cancer rates. The analysis begins by outlining the current cancer landscape in Australia, highlighting the prevalence of different cancer types and the importance of cancer control services. The report then delves into the process of conducting a needs assessment, considering the various challenges and requirements associated with understanding the needs of cancer patients. A SWOT analysis is performed to identify the strengths, weaknesses, opportunities, and threats related to the cancer control program. The report concludes by proposing key priorities for the program, emphasizing the importance of community involvement, program evaluation, and continuous improvement to reduce cancer risk and enhance patient outcomes. The report uses various research papers to support the analysis and the recommendations.
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Running Head: PROGRAM DESIGN AND IMPLEMENTATION
PROGRAM DESIGN AND IMPLEMENTATION
Name of the Student
Name of the University
Author Note
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1PROGRAM DESIGN AND IMPLEMENTATION
The chosen topic for the analysis is ‘Cancer control in Australia’.
Step-1
The rate of cancer in Australia has reached the rate of 483 per 10,000 people. However, there
is a decrease in the rate of the death due to cancer. Breast cancer is the most commonly
diagnosed form of cancer followed by prostate cancer. There is a high need for the treatment
of cancer as it is still causing the highest rate of deaths across the globe (Siegel, Naishadham
& Jemal, 2013). The best needs for the analysis of the ‘cancer control service’ includes
proper planning about the present scenario, then the next step will be prioritizing the needs of
the analysis and finally the process through which the desired goal can be achieved. This
analytical framework for the process can be both national and state level.
At the national level the Government can involve the patients with certain clinical
trials that will help in the discovery of the drugs that can provide treatment for the disease.
This should be done by taking proper care of all the ethical issues of the patient. Australian
clinical trial is one such platform that is being organized by the Government in order to find
out a treatment that is much more effective and safe. It also provides a range of treatment
choice to the patients and the patient can learn about each kind of available treatment and can
choose the right option for them after discussing that with the general physician or clinician
(Siegal, Naishadham & Jemal, 2013). At the State level the Government can run
organizations that support cancer patients in their treatment and counselling. The Government
at the state level can fund certain community councils that will help the patients to undertake
research for cancer treatment and also to fund the cancer treatment in patients who are
economically backward (Carman et al., 2013). These councils can also implement certain
programs and campaigns in order to prevent and control cancer. It should also be helpful to
provide proper information and support for the patients who are affected by cancer. The need
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2PROGRAM DESIGN AND IMPLEMENTATION
analysis of cancer patients depends on the needs of the cancer survivors and the proper
utilization of the services that act as additional support that will help to improve the quality of
life for cancer patients. Research has shown that the patients need proper education in order
to create awareness among the people that will help the individuals to identify the factor that
have potential risk to cause the disease. Research also shows that the needs are highest at the
time of anxiety, distress, depression, fear of recurrence along with uncertainty about the
future in patients with the dreaded disease (Siegal, Naishadham & Jemal, 2013).
Step-2
There can be a lot of challenges that will be faced at the time of undertaking the need analysis
of the cancer patients. These challenges can be due to the policies made either at the National
level or State level hospitals, interdisciplinary challenges as well as the generic level
challenges that can arise at the time of research of cancer drug development (Tosioan et al.,
2015). Research has shown that there are a number of issues that are being faced by the
patients like physical, economic and social consequences that make the healthcare services
for the cancer patients difficult. The challenges faced by the patients arise as the number of
people affected by the disease is ever increasing and the policies that have been set by the
Government cannot be accessed by a large sector of people. These patients thus, do not get
the required facilities that will help them either to improve the quality of life (Syrjala et al.,
2014).
Generic needs of the patients include general information about the disease from the
doctors as well as the nurses. The patients who are suffering from chronic disease the
information should not be generic instead, the information should be much more person
centered as the stages and type of cancer is different in different individuals. Thus, the
challenges faced at the generic level of need analysis among the cancer patients includes lack
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3PROGRAM DESIGN AND IMPLEMENTATION
of proper information that is being received by the patients (Stefan et al., 2013). The patients
need much more customized information regarding the disease and the treatment procedure
that is being opted for them (Siegal, Naishadham & Jemal, 2013). Inter-disciplinary need
among the patients highlights the various demands of the patients that has to be resolved by
an interdisciplinary team that consists of healthcare personnel with varying level of
specializations. This helps to address the various need of the patient via a better structured
manner that will help to improve the quality of care among the patient that will help to
improve the quality of life in them. This is thus posing a great challenge for the need analysis
of the cancer patient because if the interdisciplinary need of a patient is ignored it will result
increase the level of stress among the patient that can have a negative impact on the health of
the patient (Risendel et al., 2014).
Step-3
The SWOT analysis of the cancer control program is given below
Strengths Weaknesses
Political help for the program
Commitment to
implementation
Availability of resources
Prioritizing the need for more
such programs.
Economic situation of the
state or territory where the
program will be
implemented
The existence of other
diseases along with cancer
Lack of proper awareness
among people (Kwon, 2014).
Opportunities Threats
Leadership opportunities Change in the government
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4PROGRAM DESIGN AND IMPLEMENTATION
The better reach of the
program to the patients
The greater availability and
participation of science
associations all across the
globe
leader
Lack of proper inter-
disciplinary approach of the
healthcare system
Lack of proper practical
education (Krouse et la.,
2016).
Step-4
The cancer control program has a lot of potential in order to mitigate the rate of
cancer prevalence. Such programs help to increase awareness among the individuals that is an
easy and simple approach in order to educate the people about the various factors like
cigarette smoking that is known to cause cancer. Thus, in order to give the patients a proper
cancer prevention program the priorities should include the support from national agencies
that will help the people from low-income group to avail all the healthcare schemes (Holland
et al., 2013). As the program should be implemented at the grass root level there should be
inclusion of the community care services as well as the primary health care services so that
the patients will be able to get the proper treatment and also proper care. Another priority for
the program will be the registration of the patient under the cancer registration policies this
will give the better knowledge about the number of affected persons in a particular
community, state or territory. After the analysis of the data the extent of program can be
increased so that more and more people are benefitted by the program (Hoffman, 2013).
The cancer prevention program also needs to be evaluated so that these programs get
better funding as well as the there is a continuous scope of improvements in these programs
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5PROGRAM DESIGN AND IMPLEMENTATION
(McCabe et al., 2013). These programs will be evaluated on the basis of various factors such
as the extent to which the program is available to the patients and also the rate of benefit that
the patients are getting from the program. The funding for such programs depends on the
amount of success of such programs as the ultimate aim of such campaigns is to reduce the
risk of cancer and also to improve the social aspect of the people (Gray et al., 2017). In order
to make the program applicable at the grass root level along with the application of the model
to community health centers the campaign should be conducted at various schools so that the
students who are addicted to smoking can be aware of the risk associated with smoking. The
evaluation can be done in a better and concise manner by adopting the RE-AIM framework
that will enhance the quality, public health impact and speed of the plan that is to be
implemented. The framework intends to reach a large number of targeted population,
increases the efficacy of the program, adoption of various programs in certain institutes to get
funding, implementation of the program and also to maintain the consistency of the
interventions (Carman et al., 2013).
Conclusion
Thus, after the analysis of the cancer prevention program it is concluded that for the
success of the entire program it is very important to address each of the threats and challenges
that being faced by the program and also by the patients. The opportunities and strengths that
is identified by the SWOT analysis can be used for improving the programs and also to
enhance the quality of such programs. The successful implementation of the program
depends on the level of the reach of the program. This means that the program is available to
a larger sector of people who belong to economically backward section and are suffering
from the disease. As the central goal of the program is to reduce the risk of cancer and also to
reduce the number of cancer cases it is important to evaluate the program so that the program
has higher chances of improvements.
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6PROGRAM DESIGN AND IMPLEMENTATION
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References
Carman, K. L., Dardess, P., Maurer, M., Sofaer, S., Adams, K., Bechtel, C., & Sweeney, J.
(2013). Patient and family engagement: a framework for understanding the elements
and developing interventions and policies. Health Affairs, 32(2), 223-231.
Gray, P. J., Lin, C. C., Cooperberg, M. R., Jemal, A., & Efstathiou, J. A. (2017). Temporal
trends and the impact of race, insurance, and socioeconomic status in the management
of localized prostate cancer. European urology, 71(5), 729-737.
Hoffman, A. J. (2013). Enhancing self-efficacy for optimized patient outcomes through the
theory of symptom self-management. Cancer nursing, 36(1), E16.
Holland, J. C., Andersen, B., Breitbart, W. S., Buchmann, L. O., Compas, B., Deshields, T.
L., ... & Greiner, C. B. (2013). Distress management. Journal of the National
Comprehensive Cancer Network, 11(2), 190-209.
Krouse, R. S., Grant, M., McCorkle, R., Wendel, C. S., Cobb, M. D., Tallman, N. J., ... &
Hornbrook, M. C. (2016). A chronic care ostomy selfmanagement program for
cancer survivors. Psycho
Oncology, 25(5), 574-581.
Kwon, J. H. (2014). Overcoming barriers in cancer pain management. Journal of Clinical
Oncology, 32(16), 1727-1733.
McCabe, M. S., Bhatia, S., Oeffinger, K. C., Reaman, G. H., Tyne, C., Wollins, D. S., &
Hudson, M. M. (2013). American Society of Clinical Oncology statement: achieving
high-quality cancer survivorship care. Journal of Clinical Oncology, 31(5), 631.
Risendal, B., Dwyer, A., Seidel, R., Lorig, K., Katzenmeyer, C., Coombs, L., ... & Ory, M.
(2014). Adaptation of the chronic disease self-management program for cancer
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8PROGRAM DESIGN AND IMPLEMENTATION
survivors: feasibility, acceptability, and lessons for implementation. Journal of
Cancer Education, 29(4), 762-771.
Siegel, R., Naishadham, D., & Jemal, A. (2013). Cancer statistics, 2013. CA: a cancer
journal for clinicians, 63(1), 11-30.
Stefan, D. C., Elzawawy, A. M., Khaled, H. M., Ntaganda, F., Asiimwe, A., Addai, B. W., ...
& Adewole, I. F. (2013). Developing cancer control plans in Africa: examples from
five countries. The lancet oncology, 14(4), e189-e195.
Syrjala, K. L., Jensen, M. P., Mendoza, M. E., Yi, J. C., Fisher, H. M., & Keefe, F. J. (2014).
Psychological and behavioral approaches to cancer pain management. Journal of
Clinical Oncology, 32(16), 1703.
Tosoian, J. J., Mamawala, M., Epstein, J. I., Landis, P., Wolf, S., Trock, B. J., & Carter, H. B.
(2015). Intermediate and longer-term outcomes from a prospective active-surveillance
program for favorable-risk prostate cancer. Journal of Clinical Oncology, 33(30),
3379.
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