The Perceptions, Beliefs, and Practices of Cancer Center Program Administrators Regarding Cancer Survivorship Care Plans

The Perceptions, Beliefs, and Practices of Cancer Center Program Administrators Regarding Cancer Survivorship Care Plans
Author: F. Jeannine Everhart
Publisher:
Total Pages: 224
Release: 2017
Genre: Cancer
ISBN:

Background: A "cancer survivor" is a person who has been diagnosed with cancer, regardless of when the diagnosis took place. The number of cancer survivors in the US exceeds 14 million and will continue to increase due to improvements in early detection, diagnostic methods, and treatment. The growing number and longer life spans of cancer survivors are placing increasing demands on the US health care system. To help cancer patients make a successful transition to cancer survivorship, the Institute of Medicine in 2005 recommended that all cancer patients should receive a Survivorship Care Plan (SCP). To facilitate implementation of SCP's across the United States, the American College of Surgeons Commission on Cancer (CoC) provided timelines, guidelines and standards regarding SCPs. However, many CoC accredited cancer programs continue to struggle with implementing SCPs per these standards. Purpose: To identify and assess the perceptions, beliefs and practices of program administrators from CoC accredited cancer care programs regarding SCPs. Methods: The study was an observational, cross-sectional study that utilized best practices in survey research. Subjects included all administrators of CoC accredited cancer program as of June 2016 (n = 1,118). A total of 575 administrators completed the survey for a response rate of 51.4%. Results: Although administrators felt positive about SCPs (67% of SCP outcomes were rated "likely" or "highly likely" to benefit patients), only 11.3% (n=65) of programs fully implement SCPs. One barrier is that nearly 60% of oncologists, cancer surgeons and PCP are not directly employed by the facility. In addition, 64.3% (n=370) of respondents indicated they needed more time to fully implement SCPs. Other factors that affected a program's ability to implement SCPs included the number of new cancer cases per year, the type of cancer program, the role of the person who created and/or delivered SCPs, and the amount of time SCPs had been in place in the organization. Conclusion: Cancer programs are quite varied in size, structure, and staffing practices. Overall, cancer program administrators view SCPs as helpful to cancer patients, and support the use of SCPs. Previous studies regarding implementation have focused on barriers such as time to implement, lack of staff, and the need for more monetary resources. This study reinforces those concepts, and supplies additional insights. Implementation has been difficult, and continues to face challenges, especially with regards to staffing and the automation of SCP's into an electronic medical record system. For full implementation of SCPs, these barriers need to be reduced. The CoC's leadership on SCPs has been effective, and many facilities are now in the process of creating SCPs for every cancer patient.

Implementing Cancer Survivorship Care Planning

Implementing Cancer Survivorship Care Planning
Author: The National Cancer Institute
Publisher: National Academies Press
Total Pages: 320
Release: 2006-12-14
Genre: Medical
ISBN: 0309178851

One of the key recommendations of the joint IOM and NRC book, From Cancer Patient to Cancer Survivor: Lost in Transition, is that patients completing their primary treatment for cancer be given a summary of their treatment and a comprehensive plan for follow-up. This book answers practical questions about how this "Survivorship Care Plan," including what exactly it should contain, who will be responsible for creating and discussing it, implementation strategies, and anticipated barriers and challenges.

Cancer Care for the Whole Patient

Cancer Care for the Whole Patient
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 455
Release: 2008-03-19
Genre: Medical
ISBN: 0309134161

Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. Psychological and social problems created or exacerbated by cancer-including depression and other emotional problems; lack of information or skills needed to manage the illness; lack of transportation or other resources; and disruptions in work, school, and family life-cause additional suffering, weaken adherence to prescribed treatments, and threaten patients' return to health. Today, it is not possible to deliver high-quality cancer care without using existing approaches, tools, and resources to address patients' psychosocial health needs. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services. Cancer Care for the Whole Patient recommends actions that oncology providers, health policy makers, educators, health insurers, health planners, researchers and research sponsors, and consumer advocates should undertake to ensure that this standard is met.

The Computer-Based Patient Record

The Computer-Based Patient Record
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 257
Release: 1997-10-14
Genre: Medical
ISBN: 0309175348

Most industries have plunged into data automation, but health care organizations have lagged in moving patients' medical records from paper to computers. In its first edition, this book presented a blueprint for introducing the computer-based patient record (CPR). The revised edition adds new information to the original book. One section describes recent developments, including the creation of a computer-based patient record institute. An international chapter highlights what is new in this still-emerging technology. An expert committee explores the potential of machine-readable CPRs to improve diagnostic and care decisions, provide a database for policymaking, and much more, addressing these key questions: Who uses patient records? What technology is available and what further research is necessary to meet users' needs? What should government, medical organizations, and others do to make the transition to CPRs? The volume also explores such issues as privacy and confidentiality, costs, the need for training, legal barriers to CPRs, and other key topics.

Establishing Effective Patient Navigation Programs in Oncology

Establishing Effective Patient Navigation Programs in Oncology
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 115
Release: 2018-08-13
Genre: Medical
ISBN: 030947454X

Delivering high-quality cancer care to all patients presents numerous challenges, including difficulties with care coordination and access. Patient navigation is a community-based service delivery intervention designed to promote access to timely diagnosis and treatment of cancer and other chronic diseases by eliminating barriers to care, and has often been proposed and implemented to address these challenges. However, unresolved questions include where patient navigation programs should be deployed, and which patients should be prioritized to receive navigation services when resources are limited. To address these issues and facilitate discussion on how to improve navigation services for patients with cancer, the National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine held a workshop on November 13 and 14, 2017. At this workshop, a broad range of experts and stakeholders, including clinicians, navigators, researchers, and patients, explored which patients need navigation and who should serve as navigators, and the benefits of navigation and current gaps in the evidence base.

Handbook of Cancer Survivorship

Handbook of Cancer Survivorship
Author: Michael Feuerstein
Publisher:
Total Pages: 419
Release: 2018
Genre: Cancer
ISBN: 9783319774312

"The timely revision of this authoritative handbook gives a wide range of health care providers practical insights and strategies for treating cancer survivors' long-term physical and mental health issues and promoting healthy lifestyle habits. Details of new and emerging trends in research and practice enhance readers' awareness of issues faced by survivors so they may better detect, monitor, intervene in, and if possible prevent distressing conditions and potentially harmful outcomes. Of particular emphasis are different models of care that may be applicable to diverse clinical settings around the world. New or updated chapters cover major challenges to survivors' quality of life and options for health care delivery across key life domains, including: Adaptation and coping post-treatment. Problems of aging in survivorship, including disparities and financial hardship. Well-being concerns including physical activity, weight loss, nutrition, and smoking cessation. Core functional areas such as work, sleep, relationships, and cognition. Large-scale symptoms including pain, distress, and fatigue. Models of care including primary care and comprehensive cancer center. International perspectives. PLUS, insights about lessons learned and challenges ahead"--Publisher's description

Breast Cancer Survivorship Care

Breast Cancer Survivorship Care
Author: Lillie Shockney
Publisher: Jones & Bartlett Learning
Total Pages: 243
Release: 2011
Genre: Health & Fitness
ISBN: 0763784966

Breast Cancer Survivorship Care.

Advancing the Science of Implementation Across the Cancer Continuum

Advancing the Science of Implementation Across the Cancer Continuum
Author: David A. Chambers (DPhil)
Publisher:
Total Pages: 441
Release: 2018
Genre: Medical
ISBN: 0190647426

While many effective interventions have been developed with the potential to significantly reduce morbidity and mortality from cancer, they are of no benefit to the health of populations if they cannot be delivered. In response to this challenge, Advancing the Science of Implementation across the Cancer Continuum provides an overview of research that can improve the delivery of evidence-based interventions in cancer prevention, early detection, treatment, and survivorship. Chapters explore the field of implementation science and its application to practice, a broad synthesis of relevant research and case studies illustrating each cancer-focused topic area, and emerging issues at the intersection of research and practice in cancer. Both comprehensive and accessible, this book is an ideal resource for researchers, clinical and public health practitioners, medical and public health students, and health policymakers.

Exercise Oncology

Exercise Oncology
Author: Kathryn H. Schmitz
Publisher: Springer Nature
Total Pages: 438
Release: 2020-05-04
Genre: Medical
ISBN: 3030420116

This groundbreaking book presents a unique and practical approach to the evolving field of exercise oncology - the study of physical activity in the context of cancer prevention and control. Presenting the current state of the art, the book is sensibly divided into four thematic sections. Following an opening chapter presenting an overview and timeline of exercise oncology, the chapters comprising part I discuss primary cancer prevention, physical activity and survivorship, and the mechanisms by which these operate. Diagnosis and treatment considerations are discussed in part II, including prehabilitation, exercise during surgical recovery, infusion and radiation therapies, and treatment efficacy. Post-treatment and end-of-life care are covered in part III, including cardio-oncology, energetics and palliative care. Part IV presents behavioral, logistical and policy-making considerations, highlighting a multidisciplinary approach to exercise oncology as well as practical matters such as reimbursement and economics. Written and edited by experts in the field, Exercise Oncology will be a go-to practical resource for sports medicine clinicians, family and primary care physicians, oncologists, physical therapy and rehabilitation specialists, and all medical professionals who treat cancer patients.

Abeloff's Clinical Oncology E-Book

Abeloff's Clinical Oncology E-Book
Author: John E. Niederhuber
Publisher: Elsevier Health Sciences
Total Pages: 2712
Release: 2013-09-12
Genre: Medical
ISBN: 1455728810

Practical and clinically focused, Abeloff’s Clinical Oncology is a trusted medical reference book designed to capture the latest scientific discoveries and their implications for cancer diagnosis and management of cancer in the most accessible manner possible. Abeloff’s equips everyone involved - from radiologists and oncologists to surgeons and nurses - to collaborate effectively and provide the best possible cancer care. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Select the most appropriate tests and imaging studies for cancer diagnosis and staging of each type of cancer, and manage your patients in the most effective way possible by using all of the latest techniques and approaches in oncology. Enhance your understanding of complex concepts with a color art program that highlights key points and illustrates relevant scientific and clinical problems. Stay at the forefront of the latest developments in cancer pharmacology, oncology and healthcare policy, survivorship in cancer, and many other timely topics. See how the most recent cancer research applies to practice through an increased emphasis on the relevance of new scientific discoveries and modalities within disease chapters. Streamline clinical decision making with abundant new treatment and diagnostic algorithms as well as concrete management recommendations. Take advantage of the collective wisdom of preeminent multidisciplinary experts in the field of oncology, including previous Abeloff’s editors John E. Niederhuber, James O. Armitage, and Michael B. Kastan as well as new editors James H. Doroshow from the National Cancer Institute and Joel E. Tepper of Gunderson & Tepper: Clinical Radiation Oncology. Quickly and effortlessly access the key information you need with the help of an even more user-friendly, streamlined format. Access the complete contents anytime, anywhere at Expert Consult, and test your mastery of the latest knowledge with 500 online multiple-choice review questions.