Connect
MJA
MJA

Workforce shortages in medical oncology: a looming threat to quality cancer care

Bogda Koczwara, Michael B Barton, Euan T Walpole, Peter Grimison, Prunella L Blinman, Sally Crossing and Kay Francis
Med J Aust 2012; 196 (1): . || doi: 10.5694/mja11.10356
Published online: 16 January 2012

Supply must meet demand to maintain our high standards of cancer care

Recent years have witnessed significant progress in cancer treatment, with improved outcomes,1 treatment options, emergence of survivorship care, and acceptance of multidisciplinary care as the optimal care delivery method.2 All Australian states have cancer plans, and considerable funding has been committed to cancer control by state and federal governments. While cancer outcomes in Australia are excellent by world standards, cancer care providers and consumers are concerned about the ability of the oncology workforce to meet the growing demand, and the effect that shortages may have on the quality of care. The number of new cases of cancer continues to increase by about 3% per year because of increased population, improved longevity and increased detection rates. Over a decade, the increase amounts to nearly 40%.1 The expansion of cancer services has barely kept pace with the increased number of cases, and the number of training positions, while highly in demand, is not sufficient to address the need.3


  • 1 Flinders Medical Centre, Flinders University, Adelaide, SA
  • 2 Faculty of Medicine, University of New South Wales, Sydney, NSW.
  • 3 Cancer Services, Princess Alexandra Hospital, Brisbane, QLD.
  • 4 Sydney Cancer Centre, Sydney, NSW.
  • 5 National Health and Medical Research Council Clinical Trials Centre, University of Sydney, Sydney, NSW.
  • 6 Cancer Voices NSW, Sydney, NSW.
  • 7 Medical Oncology Group of Australia, Sydney, NSW.



Competing interests:

No relevant disclosures.

  • 1. Australian Institute of Health and Welfare, Cancer Australia, Australasian Association of Cancer Registries. Cancer in Australia: in brief 2010. Canberra: AIHW, 2010. (AIHW Cat. No. CAN 55; Cancer Series No. 59.) http://www.aihw. gov.au/publication-detail/?id=6442472454 (accessed Dec 2011).
  • 2. Wright FC, De Vito C, Langer B, Hunter A; Expert Panel on Multidisciplinary Cancer Conference Standards. Multidisciplinary cancer conferences: a systematic review and development of practice standards. Eur J Cancer 2007; 43: 1002-1010.
  • 3. Morgan GW, Barton M, Atkinson C, et al. “GAP” in radiotherapy services in Australia and New Zealand in 2009. J Med Imaging Radiat Oncol 2010; 54: 287-297.
  • 4. Roxon N, Rudd K, Snowdon W. Delivering regional cancer centres [media release]. Canberra: Department of Health and Ageing, 2010. http://www.health.gov.au/internet/ministers/publishing.nsf/Content/mr-yr10-nr-nr059.htm (accessed Dec 2011).
  • 5. Blinman PL, Grimison P, Barton MB, et al. The shortage of medical oncologists: the Australian Medical Oncologist Workforce Study. Med J Aust 2011; 196: 58-61.
  • 6. Ng WL, Jacob S, Delaney G, et al. Optimal chemotherapy utilization rate in cancer care: setting an evidence-based benchmark for quality improvement. J Clin Oncol 2010; 28 (15 Suppl): abstract 6099.

Author

remove_circle_outline Delete Author
add_circle_outline Add Author

Comment
Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.