"Care needs to be integrated" Patient and provider perspectives on a cancer shared-care model.

IF 3.1 2区 医学 Q2 ONCOLOGY Journal of Cancer Survivorship Pub Date : 2025-04-01 Epub Date: 2023-10-27 DOI:10.1007/s11764-023-01486-y
Shoshana Adler Jaffe, Miria Kano, Stephanie Rieder, Amy C Gundelach, Tawny Boyce, Teresa Rutledge, Zoneddy Dayao, Andrew L Sussman
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Abstract

Purpose: Current early-stage breast and gynecological cancer care models often begin with a referral from a primary care provider (PCP) or gynecologist (OB/Gyn) and end with a patient being transitioned back to the referring provider at the completion of treatment. There is frequently little communication between oncologists and the referring provider during treatment, and this pattern continues after the patient completes their treatment.

Methods: We convened a diverse Patient Advisory Board (PAB) to identify areas where breast or gynecological cancer patients felt they could benefit from additional support during and after their cancer care. PAB members attended five Zoom meetings and completed four online surveys. Semi-structured interviews were conducted with primary care or OB/Gyn physicians to collect information on current practices.

Results: Patients identified multiple areas in which they needed additional support from their PCP. Providers also identified topics on which they could use additional training. However, there was little overlap between patient and provider priority topics. Both patients and providers agreed that there was inadequate communication between the cancer center and PCPs before, during, and after cancer treatment.

Conclusions: A shared-care model that emphasizes communication between primary care providers, the oncology care team, and patients is urgently needed. Patients indicated the need for additional support from their PCP on specific topics, and PCPs were interested in continuing their education to better serve their patients with cancer.

Implications for cancer survivors: The importance of consistent communication among all parties during the entire cancer journey was emphasized as a key area for improvement.

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“护理需要整合”癌症共享护理模式的患者和提供者观点。
目的:目前的早期乳腺癌和妇科癌症护理模式通常从初级保健提供者(PCP)或妇科医生(OB/Gyn)的转诊开始,并在治疗结束时将患者转移回转诊提供者。在治疗过程中,肿瘤学家和转诊提供者之间通常很少沟通,这种模式在患者完成治疗后仍在继续。方法:我们召集了一个不同的患者咨询委员会(PAB),以确定乳腺或妇科癌症患者在癌症治疗期间和之后认为可以从额外支持中受益的领域。PAB成员参加了五次Zoom会议,并完成了四次在线调查。对初级保健或妇产科医生进行了半结构化访谈,以收集有关当前做法的信息。结果:患者发现了多个需要PCP额外支持的领域。供应商还确定了他们可以使用额外培训的主题。然而,患者和提供者优先主题之间几乎没有重叠。患者和提供者一致认为,在癌症治疗之前、期间和之后,癌症中心和PCP之间的沟通不足。结论:迫切需要一种强调初级保健提供者、肿瘤护理团队和患者之间沟通的共享护理模式。患者表示需要初级保健医生在特定主题上提供额外支持,初级保健医生有兴趣继续接受教育,更好地为癌症患者服务。对癌症幸存者的影响:在整个癌症之旅中,各方之间持续沟通的重要性被强调为需要改进的关键领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.00
自引率
10.80%
发文量
149
审稿时长
>12 weeks
期刊介绍: Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.
期刊最新文献
Beyond survival: the journal of cancer survivorship: research and practice (JCS). BMI trajectories, associations with outcomes and predictors in elderly gastric cancer patients undergoing radical gastrectomy: a prospective longitudinal observation study. "Care needs to be integrated" Patient and provider perspectives on a cancer shared-care model. Preferences for survivorship education and delivery among Latino and non-Latino childhood cancer survivors and caregivers. The impact of mindfulness on working memory-related brain activation in breast cancer survivors with cognitive complaints.
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