Appendix 7: Thematic Analysis from Expert Participants System Themes Illustrative quotes Ability to provide and Need for coordination and "multiple providers, multiple investigations can lead to coordinate lung cancer communication and monitoring of delays in diagnosis" (Medical oncologist) services outcomes "a team approach is what is necessary" (Surgeon) Need to coordinate public and "inordinate, unnecessary delays occur" (Medical private health care settings Oncologist) Distance from specialist centres "being able to go to a private hospital fast tracked impacts on access [spouse] treatment (Consumer) Increasing specialisation increases "people can just get lost in the system" (Dietician) the emphasis on specialist centres "There is a need for a carrot and stick approach [to Multidisciplinary teams seen as monitor and improve outcomes" (Respiratory integral Physician) Navigating the system is "In order to obtain Medicare reimbursement there challenging for patients and general should be demonstration that a physician has accessed practitioners a multidisciplinary team" (Medical Oncologist) "it is a bit hit and miss how quickly you get into the system" (Care Coordinator) "Network systems work well to coordinate care" (Policy) "Need for systematic follow-up of abnormal (Radiologist) "Up to 48% of the surgery happens in the private sector" (Policy) Provider Themes Illustrative quotes Capacity to provide lung General practitioners have minimal "amongst some clinicians there is a perception of cancer services exposure to lung cancer nihilism regarding treatment decisions" (Medical Oncologist) Workforce shortages "No shortage of surgeons—people have to be prepared Increasing need for specialisation to travel" (Thoracic Surgeon) Perception of greater accessibility "Physicians not switched on to lung cancer" (Medical through the private sector Oncologist) Views of lung cancer management "Comorbidities and age can result in failure to consider are not always up to date surgery" (Thoracic Surgeon) "I just don't see lung cancer in my practice and so I guess I am less switched onto it" (General Practitioner) "lots of information from non-experts" (Palliative care physician) "Options are not always portrayed accurately to the patient" (Respiratory physician)
Appendix 7: Thematic Analysis from Expert Participants System Themes Illustrative quotes Ability to provide and coordinate lung cancer services Need for coordination and communication and monitoring of outcomes Need to coordinate public and private health care settings Distance from specialist centres impacts on access Increasing specialisation increases the emphasis on specialist centres Multidisciplinary teams seen as integral Navigating the system is challenging for patients and general practitioners "multiple providers, multiple investigations can lead to delays in diagnosis" (Medical oncologist) "a team approach is what is necessary" (Surgeon) "inordinate, unnecessary delays occur" (Medical Oncologist) "being able to go to a private hospital fast tracked [spouse] treatment (Consumer) "people can just get lost in the system" (Dietician) "There is a need for a carrot and stick approach [to monitor and improve outcomes" (Respiratory Physician) "In order to obtain Medicare reimbursement there should be demonstration that a physician has accessed a multidisciplinary team" (Medical Oncologist) "it is a bit hit and miss how quickly you get into the system" (Care Coordinator) "Network systems work well to coordinate care" (Policy) "Need for systematic follow-up of abnormal (Radiologist) "Up to 48% of the surgery happens in the private sector" (Policy) Provider Themes Illustrative quotes Capacity to provide lung cancer services General practitioners have minimal exposure to lung cancer Workforce shortages Increasing need for specialisation Perception of greater accessibility through the private sector Views of lung cancer management are not always up to date "amongst some clinicians there is a perception of nihilism regarding treatment decisions" (Medical Oncologist) "No shortage of surgeons—people have to be prepared to travel" (Thoracic Surgeon) "Physicians not switched on to lung cancer" (Medical Oncologist) "Comorbidities and age can result in failure to consider surgery" (Thoracic Surgeon) "I just don't see lung cancer in my practice and so I guess I am less switched onto it" (General Practitioner) "lots of information from non-experts" (Palliative care physician) "Options are not always portrayed accurately to the patient" (Respiratory physician)