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Implementing novel models of posttreatment care for cancer survivors: Enablers, challenges and recommendations
Author(s) -
Jefford Michael,
Kinnane Nicole,
Howell Paula,
Nolte Linda,
Galetakis Spiridoula,
Bruce Mann Gregory,
Naccarella Lucio,
LaiKwon Julia,
Simons Katherine,
Avery Sharon,
Thompson Kate,
Ashley David,
Haskett Martin,
Davies Elise,
Whitfield Kathryn
Publication year - 2015
Publication title -
asia‐pacific journal of clinical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.73
H-Index - 29
eISSN - 1743-7563
pISSN - 1743-7555
DOI - 10.1111/ajco.12406
Subject(s) - workforce , survivorship curve , psychological intervention , cancer survivorship , government (linguistics) , best practice , nursing , terminology , medicine , psychology , public relations , medical education , business , political science , environmental health , population , linguistics , philosophy , law
Abstract Aim The A merican S ociety of C linical O ncology and US I nstitute of M edicine emphasize the need to trial novel models of posttreatment care, and disseminate findings. In 2011, the V ictorian S tate G overnment ( A ustralia) established the V ictorian C ancer S urvivorship P rogram ( VCSP ), funding six 2‐year demonstration projects, targeting end of initial cancer treatment. Projects considered various models, enrolling people of differing cancer types, age and residential areas. We sought to determine common enablers of success, as well as challenges/barriers. Methods Throughout the duration of the projects, a formal “community of practice” met regularly to share experiences. Projects provided regular formal progress reports. An analysis framework was developed to synthesize key themes and identify critical enablers and challenges. Two external reviewers examined final project reports. Discussion with project teams clarified content. Results Survivors reported interventions to be acceptable, appropriate and effective. Strong clinical leadership was identified as a critical success factor. Workforce education was recognized as important. Partnerships with consumers, primary care and community organizations; risk stratified pathways with rapid re‐access to specialist care; and early preparation for survivorship, self‐management and shared care models supported positive project outcomes. Tailoring care to individual needs and predicted risks was supported. Challenges included: lack of valid assessment and prediction tools; limited evidence to support novel care models; workforce redesign; and effective engagement with community‐based care and issues around survivorship terminology. Conclusion The VCSP project outcomes have added to growing evidence around posttreatment care. Future projects should consider the identified enablers and challenges when designing and implementing survivorship care.