Poster Presentation 2025 Joint Meeting of the COSA ASM and IPOS Congress

Addressing equity in cancer care: A model of care coordination for supportive care in cancer (126292)

Kate Beyer 1 2 , Harry Gasper 2 3 4 , Karen Barrett-McNeill 2 5 , Rachael Carter 2 , Suzanne K Chambers 1 6 , Jeff Dunn 6
  1. Australian Catholic University, Banyo, Queensland, Australia
  2. Hope Horizons Cancer Wellness Centre, Toowoomba, Queensland, Australia
  3. Medical Oncology, Sunshine Coast University Private Hospital, Birtinya, Queensland, Australia
  4. University of Southern Queensland Centre for Health Research, Toowoomba, Queensland, Australia
  5. Radiation Oncology, Icon Cancer Centre, Toowoomba, Queensland, Australia
  6. University of Southern Queensland Cancer Survivorship Research Group, Toowoomba, Queensland, Australia

Background/rationale:
People with cancer in regional and rural Queensland face inequity of resource provision, particularly in supportive care. This is compounded by socioeconomic disadvantage, geographical isolation and lack of resources, contributing to poorer cancer outcomes and increased distress. Hope Horizons is a not-for-profit cancer wellness centre which through charitable donations provides access to allied health and supportive care for people affected by cancer in Toowoomba. To adequately coordinate effective and targeted person-centered care, Hope Horizons have adapted and implemented a model of care under the title Wellbeing Program, using the University of Southern Queensland (UniSQ) My Wellbeing Plan.

Methods:
My Wellbeing Plan is an evidence-based care plan that systematically evaluates physical, emotional, social, and practical needs. Incorporating this plan into care at Hope Horizons under the Wellbeing Program, supports distress screening, identifies barriers to care, and ensures timely access to allied and mental health services, as well as practical support. Adaptations to the My Wellbeing Plan has improved data collection, supported program evaluation and highlighted this model of care as a flexible, cost-effective, and evidence-informed approach.

Impact on practice:
This innovative model of care streamlines care coordination, enhances timely access to essential services, and reduces the burden on individuals. It enables targeted care provision and efficient use of resources. Clients report improved wellbeing and empowerment through tailored support, while healthcare providers benefit from a structured framework to address non-medical needs. The model offers a scalable solution for improving equity in cancer care delivery.

Discussion:
Key lessons include partnering with existing services, fostering cross-sector collaboration, and engaging with local community to establish needs. Future directions involve expanding the model across similar regional contexts, increasing cultural responsiveness, and evaluating long-term outcomes. The Hope Horizons Wellbeing Program provides an innovative model for integrated, client-centered care.