Risk-Stratified Pathways for Cancer Survivorship Care: Insights from a Deliberative Multi-Stakeholder Consultation
| Autor: | Susan Usher, Nassera Touati, Dominique Tremblay, Yves Leblanc, Karine Bilodeau, Catherine Prady |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Cancer survivorship
Pilot Projects multi-stakeholder Survivorship risk stratification Medical Oncology Article law.invention 03 medical and health sciences 0302 clinical medicine User experience design Cancer Survivors law Survivorship curve Neoplasms Medicine Humans 030212 general & internal medicine Multi stakeholder survivorship care Referral and Consultation RC254-282 Medical education business.industry Neoplasms. Tumors. Oncology. Including cancer and carcinogens Care Continuum care coordination 3. Good health 030220 oncology & carcinogenesis Risk stratification CLARITY deliberative consultation business Meaning (linguistics) |
| Zdroj: | Current Oncology, Vol 28, Iss 295, Pp 3408-3419 (2021) Current Oncology Volume 28 Issue 5 Pages 295-3419 |
| ISSN: | 1198-0052 1718-7729 |
| Popis: | Risk-stratified pathways of survivorship care seek to optimize coordination between cancer specialists and primary care physicians based on the whole person needs of the individual. While the principle is supported by leading cancer institutions, translating knowledge to practice confronts a lack of clarity about the meaning of risk stratification, uncertainties around the expectations the model holds for different actors, and health system structures that impede communication and coordination across the care continuum. These barriers must be better understood and addressed to pave the way for future implementation. Recognizing that an innovation is more likely to be adopted when user experience is incorporated into the planning process, a deliberative consultation was held as a preliminary step to developing a pilot project of risk-stratified pathways for patients transitioning from specialized oncology teams to primary care providers. This article presents findings from the deliberative consultation that sought to understand the perspectives of cancer specialists, primary care physicians, oncology nurses, allied professionals, cancer survivors and researchers regarding the following questions: what does a risk stratified model of cancer survivorship care mean to care providers and users? What are the prerequisites for translating risk stratification into practice? What challenges are involved in establishing these prerequisites? The multi-stakeholder consultation provides empirical data to guide actions that support the development of risk-stratified pathways to coordinate survivorship care. |
| Databáze: | OpenAIRE |
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