Timely access to specialist assessment is critical to achieving optimal outcomes for patients with lung cancer. Previous work by Otty et al. identified delays in regional lung cancer pathways compared with the Optimal Care Pathway (OCP). To address these gaps, a Rapid Access Lung Cancer Clinic (RALCC) was established, integrating telehealth to improve access for patients living in geographically distant communities. This study evaluates the implementation and early impact of the service on timeliness of care.
A multidisciplinary implementation strategy involved focused stakeholder meetings with the lung multidisciplinary team (MDT) to redesign referral pathways and establish a Rapid Access Lung Cancer Clinic targeting specialist review within 72 hours of MDT discussion. A dedicated Lung Cancer Care Coordinator position was secured through a successful business case to facilitate referrals, coordinate investigations, and streamline patient navigation. Telehealth consultations were incorporated for patients residing in Mackay and Cairns. Service activity and pathway metrics were prospectively evaluated from October 2024 to January 2026.
During the evaluation period, 71 patients were reviewed through the Rapid Access Lung Cancer Clinic, including 22 (31%) managed via telehealth. Implementation of the integrated clinic model was associated with a reduction of approximately two weeks in the interval from MDT discussion to commencement of treatment compared with historical practice. Telehealth enabled timely specialist assessment for geographically dispersed patients, reducing travel burden and supporting more equitable delivery of evidence-based lung cancer care.
A telehealth-integrated Rapid Access Lung Cancer Clinic is a feasible and effective model for improving the timeliness of lung cancer care. Embedding coordinated MDT processes, dedicated care coordination, and virtual specialist review reduced treatment delays and improved access for rural and remote patients. This model represents a scalable approach to closing the distance gap and advancing equitable lung cancer care across regional health services.