Back to Search
Start Over
Provision and discussion of survivorship care plans among cancer survivors: results of a nationally representative survey of oncologists and primary care physicians.
- Source :
-
Journal of clinical oncology : official journal of the American Society of Clinical Oncology [J Clin Oncol] 2014 May 20; Vol. 32 (15), pp. 1578-85. Date of Electronic Publication: 2014 Apr 21. - Publication Year :
- 2014
-
Abstract
- Purpose: Survivorship care planning should involve discussions between providers and cancer survivors to address survivors' needs and optimize adherence. We examined the frequency and factors associated with oncologists' and primary care physicians' (PCPs) reports of provision of written survivorship care plans (SCPs) and discussion of survivorship care recommendations with survivors.<br />Methods: A nationally representative sample of 1,130 oncologists and 1,020 PCPs was surveyed about survivorship care practices with survivors. Logistic regression models predicted multilevel factors associated with providing SCPs or discussing recommendations with survivors.<br />Results: Although a majority of oncologists (64%) reported always/almost always discussing survivorship care recommendations with survivors, fewer also discussed who survivors should see for cancer-related and other follow-up care (32%); fewer still also provided a written SCP to the survivor (< 5%). Survivorship care recommendations and provider responsibility were not regularly discussed by PCPs and survivors (12%). Oncologists who reported detailed training about late and long-term effects of cancer were more likely to provide written SCPs (odds ratio [OR], 1.73; 95% CI, 1.22 to 2.44) and discuss survivorship care planning with survivors (OR, 2.02; 95% CI, 1.51 to 2.70). PCPs who received SCPs from oncologists were 9× more likely (95% CI, 5.74 to 14.82) to report survivorship discussions with survivors.<br />Conclusion: A minority of both PCPs and oncologists reported consistently discussing and providing SCPs to cancer survivors. Training and knowledge specific to survivorship care and coordinated care between PCPs and oncologists were associated with increased survivorship discussions with survivors. These nationally representative data provide a useful benchmark to assess implementation of new efforts to improve the follow-up care of survivors.<br /> (© 2014 by American Society of Clinical Oncology.)
- Subjects :
- Attitude of Health Personnel
Cross-Sectional Studies
Female
Health Care Surveys
Health Knowledge, Attitudes, Practice
Humans
Interdisciplinary Communication
Logistic Models
Male
Middle Aged
Neoplasms psychology
Odds Ratio
Patient Care Team
Patient Compliance
Physician-Patient Relations
Surveys and Questionnaires
United States
Long-Term Care
Medical Oncology
Neoplasms therapy
Patient Care Planning
Practice Patterns, Physicians'
Primary Health Care
Survivors psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1527-7755
- Volume :
- 32
- Issue :
- 15
- Database :
- MEDLINE
- Journal :
- Journal of clinical oncology : official journal of the American Society of Clinical Oncology
- Publication Type :
- Academic Journal
- Accession number :
- 24752057
- Full Text :
- https://doi.org/10.1200/JCO.2013.51.7540