Implementation of a virtual multi-disciplinary model of care for people affected by cancer: a qualitative evaluation

Abstract Objectives To undertake a qualitative evaluation of the implementation of the Penile and Testicular cancer multidisciplinary meeting (PEN-TEST MDM) model pilot including the acceptability, adoption, appropriateness, feasibility, and requirements for sustaining the model from the perspective...

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Main Authors: Hannah Beks, Marley J. Binder, Suzanne Clayden, Justin Ludowyk, David Campbell, Jessica Freeman, Ian M. Collins, Craig Underhill, Mark Buzza, Michelle Barrett, Wasek Faisal, Dayna Swiatek, Anna Ugalde
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Health Services Research
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Online Access:https://doi.org/10.1186/s12913-025-12990-5
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author Hannah Beks
Marley J. Binder
Suzanne Clayden
Justin Ludowyk
David Campbell
Jessica Freeman
Ian M. Collins
Craig Underhill
Mark Buzza
Michelle Barrett
Wasek Faisal
Dayna Swiatek
Anna Ugalde
author_facet Hannah Beks
Marley J. Binder
Suzanne Clayden
Justin Ludowyk
David Campbell
Jessica Freeman
Ian M. Collins
Craig Underhill
Mark Buzza
Michelle Barrett
Wasek Faisal
Dayna Swiatek
Anna Ugalde
author_sort Hannah Beks
collection DOAJ
description Abstract Objectives To undertake a qualitative evaluation of the implementation of the Penile and Testicular cancer multidisciplinary meeting (PEN-TEST MDM) model pilot including the acceptability, adoption, appropriateness, feasibility, and requirements for sustaining the model from the perspectives of key informants. Design, setting, participants A qualitative evaluation of the PEN-TEST MDM model six-month implementation pilot at Barwon Health (Victoria, Australia) (January to July 2024) was undertaken from July to September 2024. Qualitative data was obtained from semi-structured interviews undertaken with key informants, including working group members and end-users (referring and attending clinicians). Data was analysed abductively and reported, guided by Proctor’s implementation outcomes framework. Main outcome measures Key themes pertaining to implementation outcomes based on qualitative analysis. Results Thirteen key informants were interviewed. Three key concepts were developed: (1) value for the clinician workforce: acceptability and adoption, (2) optimising patient care: appropriateness and feasibility, and (3) considerations for sustainability and scalability. Conclusions The PEN-TEST MDM model is a promising approach for reviewing patient cases with penile or testicular cancer. Findings support the importance of ongoing stakeholder engagement to shape the next iteration, and further investment to refine, sustain, and scale the model. Subject to this, scoping opportunities for scaling to other less common or rare cancers is warranted. The MDM model established has potential to be transformative in addressing inequitable access to specialist cancer care.
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spelling doaj-art-db9eda43600a4a1d8d7894d455a9b7a42025-08-20T03:37:23ZengBMCBMC Health Services Research1472-69632025-07-012511810.1186/s12913-025-12990-5Implementation of a virtual multi-disciplinary model of care for people affected by cancer: a qualitative evaluationHannah Beks0Marley J. Binder1Suzanne Clayden2Justin Ludowyk3David Campbell4Jessica Freeman5Ian M. Collins6Craig Underhill7Mark Buzza8Michelle Barrett9Wasek Faisal10Dayna Swiatek11Anna Ugalde12Institute for Health Transformation, Centre for Quality and Patient Safety Research, Deakin UniversityDeakin Rural Health, School of Medicine, Deakin UniversityInstitute for Health Transformation, Centre for Quality and Patient Safety Research, Deakin UniversityBarwon HealthBarwon HealthVictorian Comprehensive Cancer Centre AllianceVictorian Comprehensive Cancer Centre AllianceVictorian Comprehensive Cancer Centre AllianceVictorian Comprehensive Cancer Centre AllianceVictorian Comprehensive Cancer Centre AllianceDepartment of Medical Oncology, Grampians HealthFaculty of Health, Deakin UniversityInstitute for Health Transformation, Centre for Quality and Patient Safety Research, Deakin UniversityAbstract Objectives To undertake a qualitative evaluation of the implementation of the Penile and Testicular cancer multidisciplinary meeting (PEN-TEST MDM) model pilot including the acceptability, adoption, appropriateness, feasibility, and requirements for sustaining the model from the perspectives of key informants. Design, setting, participants A qualitative evaluation of the PEN-TEST MDM model six-month implementation pilot at Barwon Health (Victoria, Australia) (January to July 2024) was undertaken from July to September 2024. Qualitative data was obtained from semi-structured interviews undertaken with key informants, including working group members and end-users (referring and attending clinicians). Data was analysed abductively and reported, guided by Proctor’s implementation outcomes framework. Main outcome measures Key themes pertaining to implementation outcomes based on qualitative analysis. Results Thirteen key informants were interviewed. Three key concepts were developed: (1) value for the clinician workforce: acceptability and adoption, (2) optimising patient care: appropriateness and feasibility, and (3) considerations for sustainability and scalability. Conclusions The PEN-TEST MDM model is a promising approach for reviewing patient cases with penile or testicular cancer. Findings support the importance of ongoing stakeholder engagement to shape the next iteration, and further investment to refine, sustain, and scale the model. Subject to this, scoping opportunities for scaling to other less common or rare cancers is warranted. The MDM model established has potential to be transformative in addressing inequitable access to specialist cancer care.https://doi.org/10.1186/s12913-025-12990-5Penile neoplasmsTesticular neoplasmsDelivery of health careProgram evaluationRare and less common cancerAustralia
spellingShingle Hannah Beks
Marley J. Binder
Suzanne Clayden
Justin Ludowyk
David Campbell
Jessica Freeman
Ian M. Collins
Craig Underhill
Mark Buzza
Michelle Barrett
Wasek Faisal
Dayna Swiatek
Anna Ugalde
Implementation of a virtual multi-disciplinary model of care for people affected by cancer: a qualitative evaluation
BMC Health Services Research
Penile neoplasms
Testicular neoplasms
Delivery of health care
Program evaluation
Rare and less common cancer
Australia
title Implementation of a virtual multi-disciplinary model of care for people affected by cancer: a qualitative evaluation
title_full Implementation of a virtual multi-disciplinary model of care for people affected by cancer: a qualitative evaluation
title_fullStr Implementation of a virtual multi-disciplinary model of care for people affected by cancer: a qualitative evaluation
title_full_unstemmed Implementation of a virtual multi-disciplinary model of care for people affected by cancer: a qualitative evaluation
title_short Implementation of a virtual multi-disciplinary model of care for people affected by cancer: a qualitative evaluation
title_sort implementation of a virtual multi disciplinary model of care for people affected by cancer a qualitative evaluation
topic Penile neoplasms
Testicular neoplasms
Delivery of health care
Program evaluation
Rare and less common cancer
Australia
url https://doi.org/10.1186/s12913-025-12990-5
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