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Barriers to the provision of evidence‐based psychosocial care in oncology
Author(s) -
Schofield Penelope,
Carey Mariko,
Bonevski Billie,
SansonFisher Rob
Publication year - 2006
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.1017
Subject(s) - psychosocial , health care , best practice , psychology , medicine , nursing , public relations , political science , psychotherapist , law
Meeting the psychological, social and physical needs of people with cancer is a challenge for individual health practitioners, health administrators and health policy makers. However, there is a considerable gap between recommended best‐evidence psychosocial and supportive care and actual practice. This paper provides a discussion of the reasons for this gap using the precede‐proceed model as a theoretical framework. The model is a useful way of classifying potential barriers to the application of recommended best practice into three categories: predisposing factors which influence motivation to behave in a particular way, enabling factors which facilitate the enactment of the behaviour and reinforcing factors which increase the likelihood that the behaviour will be maintained over time. Ways of addressing these barriers are proposed and discussed. Copyright © 2005 John Wiley & Sons, Ltd.