[PDF] The Perceptions Beliefs And Practices Of Cancer Center Program Administrators Regarding Cancer Survivorship Care Plans eBook

Author : F. Jeannine Everhart
Publisher :
Page : 224 pages
File Size : 42,51 MB
Release : 2017
Category : Cancer
ISBN :

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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.

Author : The National Cancer Institute
Publisher : National Academies Press
Page : 320 pages
File Size : 40,62 MB
Release : 2006-12-14
Category : Medical
ISBN : 0309178851

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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.

Author : Institute of Medicine
Publisher : National Academies Press
Page : 455 pages
File Size : 14,5 MB
Release : 2008-03-19
Category : Medical
ISBN : 0309134161

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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.

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 115 pages
File Size : 27,92 MB
Release : 2018-08-13
Category : Medical
ISBN : 030947454X

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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.

Author : Institute of Medicine
Publisher : National Academies Press
Page : 257 pages
File Size : 22,77 MB
Release : 1997-10-14
Category : Medical
ISBN : 0309175348

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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.

Author : Michael Feuerstein
Publisher :
Page : 419 pages
File Size : 36,56 MB
Release : 2018
Category : Cancer
ISBN : 9783319774312

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"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

Author : Lillie Shockney
Publisher : Jones & Bartlett Learning
Page : 243 pages
File Size : 27,8 MB
Release : 2011
Category : Health & Fitness
ISBN : 0763784966

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Breast Cancer Survivorship Care.

Author : Kathryn H. Schmitz
Publisher : Springer Nature
Page : 438 pages
File Size : 12,81 MB
Release : 2020-05-04
Category : Medical
ISBN : 3030420116

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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.

Author : David A. Chambers (DPhil)
Publisher :
Page : 441 pages
File Size : 10,76 MB
Release : 2018
Category : Medical
ISBN : 0190647426

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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.

Author : Mahmoud Aljurf
Publisher : Springer Nature
Page : 192 pages
File Size : 12,80 MB
Release : 2021-10-28
Category : Medical
ISBN : 3030820521

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This open access book provides a valuable resource for hospitals, institutions, and health authorities worldwide in their plans to set up and develop comprehensive cancer care centers. The development and implementation of a comprehensive cancer program allows for a systematic approach to evidence-based strategies of prevention, early detection, diagnosis, treatment, and palliation. Comprehensive cancer programs also provide a nexus for the running of clinical trials and implementation of novel cancer therapies with the overall aim of optimizing comprehensive and holistic care of cancer patients and providing them with the best opportunity to improve quality of life and overall survival. This book's self-contained chapter format aims to reinforce the critical importance of comprehensive cancer care centers while providing a practical guide for the essential components needed to achieve them, such as operational considerations, guidelines for best clinical inpatient and outpatient care, and research and quality management structures. Intended to be wide-ranging and applicable at a global level for both high and low income countries, this book is also instructive for regions with limited resources. The Comprehensive Cancer Center: Development, Integration, and Implementation is an essential resource for oncology physicians including hematologists, medical oncologists, radiation oncologists, surgical oncologists, and oncology nurses as well as hospitals, health departments, university authorities, governments and legislators.