What Is Quality Health Care for Cancer Survivors?

Malin, Jennifer L.; Sayers, Emma-Jane; Jefford, Michael

doi:10.1007/978-1-4419-1348-7_2

Cited by 7 publications

(10 citation statements)

References 57 publications

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“…The Canadian Partnership Against Cancer (CPAC) has set out a pan-Canadian strategy with the goal for all Canadians to have access to equitable, person-centred, safe and high-quality cancer care (2018). This kind of care optimally aligns timely, safe, effective, efficient and equitable resources with survivor needs to achieve desired outcomes such as improved survival, functional status, quality of life and personal cancer experience (Feuerstein & Ganz, 2011;Lotfi-Jam et al, 2009;Malin et al, 2011). However, without the structures and contexts necessary to enact person-centred care within the health and cancer care systems, health disparities may be inadvertently accentuated, especially among those who experience marginalizing conditions within society (Epstein, Fiscella, Lesser, & Stange, 2010;Hankivsky, 2011;Niu, Roche, Pawlish & Henry, 2013;Weaver, Geiger, Lu & Case, 2013).…”

Section: Introductionmentioning

confidence: 99%

Toward equitably high-quality cancer survivorship care

Truant

Varcoe

Gotay

et al. 2019

CONJ

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Section: Introductionmentioning

confidence: 99%

Toward equitably high-quality cancer survivorship care

Truant

Varcoe

Gotay

et al. 2019

CONJ

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“…Le Partenariat canadien contre le cancer (PCCC) a établi une stratégie pancanadienne dont le but est de fournir à tous les Canadiens un accès à des soins du cancer équitables, axés sur la personne et de grande qualité (2018). Pour ce faire, les ressources doivent être sûres, efficaces et équitables, disponibles en temps opportun et alignées sur les besoins des survivants afin d'optimiser les résultats souhaités, notamment une amélioration du taux de survie, des capacités fonctionnelles, de la qualité de vie et de l'expérience personnelle par rapport au cancer (Feuerstein et Ganz, 2011;Lotfi-Jam et al, 2009;Malin et al, 2011). Toutefois, l'absence de structures ou de contextes encourageant la prestation de soins axés sur la personne au sein des systèmes de santé et de soins du cancer peut mener à un accroissement involontaire des disparités en matière de santé, au détriment, particulièrement, des personnes marginalisées (Epstein, Fiscella, Lesser et Stange, 2010;Hankivsky, 2011;Niu, Roche, Pawlish et Henry, 2013;Weaver, Geiger, Lu et Case, 2013).…”

Section: Résuméunclassified

Les soins aux survivants du cancer : vers une grande qualité, en toute équité

Truant

Varcoe

Gotay

et al. 2019

CONJ

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“…The study participants in Sprague et al (2013) were highly satisfied with the provision of the SCP designed from the Survivorship Care Plan Builder from Journey Forward. The 10 subjects investigated by Jefford et al (2011) were either educated at the high school or college level, and primarily employed (70%). The participants reported that the SCP was "useful, relevant, and convenient" (pg.…”

Section: Comparison To Other Studiesmentioning

confidence: 99%

Integration of survivorship care plans into standard care: A quality improvement project.

Deslauriers

2017

JCO

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70 Background: American College of Surgeons’ Commission on Cancer accredited programs are required to provide Survivorship Care Plans (SCPs) to cancer survivors after initial cancer treatment. A critical need exists to evaluate SCP patient outcomes. The primary purpose of this quality improvement project was to integrate SCP into standard care for adult stage I, II, and III breast and colon cancer patients. Secondary aims were to examine the hypothesis that the SCP will improve participants’ knowledge base regarding their cancer, health promotion and disease prevention, satisfaction with delivery of health care, quality of life, and adherence to follow-up and surveillance testing. Methods: The IRB approved study was conducted at a hospital-based Medical Oncology Clinic (MOC) in the Western US. A pre/post design was used. Sociodemographic, Medical Outcomes Study Form-36 (MOS-SF-36), Patient Satisfaction Questionnaire Short Form-PSQ-18 (PSQ-SF-18), and Patient Knowledge of Disease Questionnaire (PKDQ) data were collected pre/post SCP. At the follow-up visit, MOS-SF-36, PSQ-SF-18, PKDQ, and open-ended evaluative questionnaire (OEEQ) data were collected. Results: Forty-two subjects were enrolled. The sample is primarily female (n = 36; 86%), Caucasian (n = 41; 97.6%), Hispanic (n = 36; 85.7%), non-high school graduates (n = 26; 61%), and unemployed/retired (n = 32; 78%). Annual incomes were primarily less than $20K (n = 32; 78%). Paticipants were post-treatment for breast cancer (n = 36) or colon cancer (n = 6). 100% of the participants returned for follow-up visits with only 2 (4.8%) delayed. There were significant increases in knowledge (p < 0.001). There were no statistically significant changes in the MOS-SF-36 ant the PSQ-SF-18. Themes in the OEEQ captured satisfaction with the provision of the SCP, changes in health promotion and disease prevention habits. Conclusions: This pilot study supports the hypothesis that SCPs improve adherence to follow-up and patient knowledge, especially in a unique setting of a low socio-economic, ethnically diverse population. A larger study is needed to show statistically significant improvements in health-related quality of life and satisfaction with delivery of health care.

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What Is Quality Health Care for Cancer Survivors?

Cited by 7 publications

References 57 publications

Toward equitably high-quality cancer survivorship care

Toward equitably high-quality cancer survivorship care

Les soins aux survivants du cancer : vers une grande qualité, en toute équité

Integration of survivorship care plans into standard care: A quality improvement project.

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