Continuity of Care for Advanced Cancer Patients: Comparing the Views of Spousal Caregivers in Ontario, Canada, to Dumont et al.'s Theoretical Model

Lohfeld, Lynne; Brazil, Kevin; Willison, Kathleen

doi:10.1177/082585970702300207

Cited by 5 publications

(9 citation statements)

References 57 publications

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“…Cancer care is a worldwide problem of considerable complexity and fragmentation [7,8]. The fact that treatment can have a major impact on the long-term health and quality of life of survivors greatly complicates disease management, and the disease burden of survivors is often underestimated.…”

Section: Introductionmentioning

confidence: 99%

Continuity of Care, Follow-Up Care, and Outcomes among Breast Cancer Survivors

Chen

Hsieh

Chung

2019

IJERPH

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This retrospective cohort study examined the effects of care continuity on the utilization of follow-up services and outcome of breast cancer patients (stages I–III) in the post-treatment phase of care. Propensity score matching and generalized estimation equations were used in the analysis of data obtained from national longitudinal databases. The continuity of care index (COCI) was calculated separately for primary care physicians (PCP) and oncologists. Our results revealed that breast cancer survivors with a higher oncology COCI were more likely than those with a lower oncology COCI to use mammography or breast ultrasound during the follow-up period (OR = 1.26, 95% CI: 1.19–1.32; OR = 1.12, 95% CI: 1.06–1.18; respectively). In terms of health outcomes, a higher oncology COCI was associated with a lower likelihood of hospitalization (OR = 0.78, 95% CI: 0.71–0.85) and emergency department use (OR = 0.88, 95% CI: 0.82–0.95). A higher PCP COCI was also associated with a lower likelihood of hospitalization (OR = 0.77, 95% CI: 0.70–0.85) and emergency department use (OR = 0.75, 95% CI: 0.68–0.82). Overall, this study determined that ambulatory care continuity is positively associated with the likelihood of using recommended follow-up care services and negatively associated with adverse health events among breast cancer survivors.

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Section: Introductionmentioning

confidence: 99%

Continuity of Care, Follow-Up Care, and Outcomes among Breast Cancer Survivors

Chen

Hsieh

Chung

2019

IJERPH

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“…Investigations into this form of support are needed to understand the extent of the impact of social support in families. Also, given that female caregivers are less likely to receive social support from family and friends (Brazil et al, 2009), further research into the benefits of community connections is necessary to understand the health impacts of social supports in spousal caregiving (Lohfeld et al, 2007).…”

Section: Theme 2: the Effect Of Social Support And Health Outcomes Inmentioning

confidence: 99%

“…Both the physical built environment (WHO, 2020a) and culture (Canadian Public Health, 2020) are identified as important determinants of health. The research published to date has mainly focused on urban settings in Canada (Brazil et al, 2009; Creese et al, 2008; Lohfeld et al, 2007) or has avoided investigating Canadians in remote areas (Turcotte, 2013). One research study presented previously (Coombs, 2007) had highlighted that women in rural areas with transportation issues may seek social support for assistance with health appointments (Coombs, 2007), illustrating a possible interactional effect with built environment, social support, and potential health outcomes in older spousal caregivers.…”

Section: Directions For Future Researchmentioning

confidence: 99%

Spousal Caregiving in Community Settings in Canada: Implications for Nursing Professionals

Stewart

2020

Gerontology and Geriatric Medicine

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Objective: Spousal caregivers report significantly more health effects and psychological consequences than caregivers of aging parents. Traditional approaches to assist these caregivers often include lifestyle approaches with a lack of health promotion initiatives. Consequently, alternative approaches to facilitate the adaptation to the social context of spousal caregivers’ experiences are needed. Method: This article systematically reviewed literature on spousal caregiving in Canada using a health promotion approach. Nine peer reviewed articles were identified from the health and social care literature and critically analyzed for relevant themes. Results: Gender, social support, health care, and income emerged as themes in the literature published to date. Discussion: The article concludes with directions for future research in Canada and suggested solutions for family nursing practice.

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“…As the needs vary from one person to another and change over the course of the cancer journey, some of the major challenges patients face may be due to a lack of continuity of care (Dumont, Dumont, & Turgeon, 2005). Continuity of care has been previously described as the delivery of patient and family care in a manner that is seamless, "coherent, connected, and consistent with the patient's medical needs and personal context" (Haggerty et al, 2003;Lohfeld, Brazil, & Willison, 2007).…”

Section: Literature Reviewmentioning

confidence: 99%

Intervention patterns of pivot nurses in oncology

Skrutkowski¹,

Saucier²,

Ritchie³

et al. 2011

CONJ

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The Pivot Nurse in Oncology (PNO) is a health care professional dedicated to providing patients with cancer and their families with continuing and consistent supportive care throughout the care trajectory. The purpose of this paper is to describe the variation and frequency of nursing interventions delivered by 12 PNOs at our health centre. An administrative analysis over a three-year period revealed a total of 43,906 interventions that were grouped into 10 categories. This analysis provided a description of the intervention frequency and these interventions were further collapsed into the four role functions of the PNO. Coordination/continuity of care and the assessment of needs and symptoms were identified as the dominant practice domains of the PNO in the professional cancer navigator role.

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Continuity of Care for Advanced Cancer Patients: Comparing the Views of Spousal Caregivers in Ontario, Canada, to Dumont et al.'s Theoretical Model

Cited by 5 publications

References 57 publications

Continuity of Care, Follow-Up Care, and Outcomes among Breast Cancer Survivors

Continuity of Care, Follow-Up Care, and Outcomes among Breast Cancer Survivors

Spousal Caregiving in Community Settings in Canada: Implications for Nursing Professionals

Intervention patterns of pivot nurses in oncology

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