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Journal of Cancer Survivorship

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01-12-2020 | Care

Identifying patients’ priorities for quality survivorship: conceptualizing a patient-centered approach to survivorship care

Authors: K. Holly Mead, Sarah Raskin, Anne Willis, Hannah Arem, Sarah Murtaza, Laura Charney, Mandi Pratt-Chapman

Published in: Journal of Cancer Survivorship | Issue 6/2020

Abstract

Purpose

This study explored cancer survivors’ experiences with and priorities for cancer survivorship care to describe a patient-centered approach to quality survivorship care.

Methods

We conducted 22 focus groups with 170 adult survivors of breast, prostate, and colorectal cancer from six cities across the country and online. We used thematic analysis to identify participants’ principles and priorities for quality survivorship care.

Results

Based on our analysis of a limited group of cancer survivors, we identified two core principles that underlie participants’ expectations for survivorship care and 11 practice priorities that reflect opportunities to improve patient-centeredness at the individual, interpersonal, and organizational levels. The principles reflect participants’ desire to be better prepared for and equipped to accept and manage their chronic care needs post-cancer treatment. The priorities reflect practices that patients, providers, and cancer centers can engage in to ensure survivors’ goals for post-treatment care are met.

Conclusions

Results from the study suggest the need to expand conceptualization of high-quality survivorship care. The survivor principles and practice priorities identified in this study challenge the field to organize a more patient-centered survivorship care system that empowers and respects patients and provides a holistic approach to survivors’ chronic and long-term needs.

Implications for Cancer Survivors

Quality cancer survivorship care must reflect patients’ priorities. The findings from this study can be used to develop a patient-centered framework for survivorship care that can be used in conjunction with quality guidelines to ensure survivorship care is organized to achieve both clinical and patient-centered outcomes.

Available only for authorised users

A person is considered a cancer survivor from the time of diagnosis until the time of death [1]. However, because we are looking at the system of care provided to survivors post-treatment, we use the American Society of Clinical Oncology’s “functional definition,” which considers survivors to be those “individuals who have successfully completed curative treatment of those who have transitioned to maintenance of prophylactic therapy” [2].

Totals add up to more than 100% because some survivors had been diagnosed with more than one cancer type.

The number cited in parentheses after each priority refers to the total number of times a theme was discussed across all 22 focus groups.

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Title: Identifying patients’ priorities for quality survivorship: conceptualizing a patient-centered approach to survivorship care
Authors: K. Holly Mead
Sarah Raskin
Anne Willis
Hannah Arem
Sarah Murtaza
Laura Charney
Mandi Pratt-Chapman
Publication date: 01-12-2020
Publisher: Springer US
Keywords: Care
Colorectal Cancer
Colorectal Cancer
Published in: Journal of Cancer Survivorship / Issue 6/2020
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI: https://doi.org/10.1007/s11764-020-00905-8

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Abstract

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