Healthcare Quarterly

Healthcare Quarterly 20(4) January 2018 : 17-23.doi:10.12927/hcq.2018.25428
Engaging Stakeholders

Cancer Care Ontario's Systematic Symptom Screening Strategy: A Human-Centred Design Approach to Exploring System Gaps and Defining Strategies for the Future

Sean Molloy, Tom McHugh, Heidi Amernic, Wenonah Mahase, Serena Kurkjian, Robert Grossi, Patricia Pottie, Gillian Hurwitz and Esther Green


Cancer patients experience a high symptom burden throughout their illness. Quality cancer symptom management has been shown to improve patient quality of life and prevent emergency department use. Cancer Care Ontario introduced standardized symptom screening in Ontario, using the Edmonton Symptom Assessment System (ESAS) to facilitate patient reporting and management of symptoms. However, patient symptom information is not always sufficiently addressed. To address these gaps, patient and family advisors collaborated with clinicians, administrators and health system leaders from across the Province in a Symptom Management Summit to share perspectives and co-design context-specific solutions to improve care in their region.



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