Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Translational Behavioral Medicine
Published in: Translational Behavioral Medicine 3/2012

01-09-2012 | Original Research

Cancer survivors and the patient-centered medical home

Authors: Shawna V. Hudson, PhD, Suzanne M. Miller, PhD, Jennifer Hemler, MA, Aneesah McClinton, BS, Kevin C. Oeffinger, MD, Alfred Tallia, MD, Benjamin F. Crabtree, PhD

Published in: Translational Behavioral Medicine | Issue 3/2012

Login to get access

Abstract

Survivor care plans have been described as useful tools for enhancing the quality of follow-up care that cancer survivors receive after their active treatment has been completed. The relative success of current survivor care plan models is strongly dependent on the actions of individual patients. In this qualitative study of 33 cancer survivors, we explored patients’ understanding of follow-up care and their motivations and resources for seeking care. Three types of survivor experiences were identified from narratives of patients treated in community oncology and National Cancer Institute-designated comprehensive cancer centers, ranging from nonactivated patients who need enhanced health care communication and decision support to navigate their care to highly activated patients adept at navigating complex health care settings. Using the patient-centered medical home as a conceptual framework, we propose a research, policy, and practice agenda that advocates for multifaceted decision support to enhance cancer survivorship and follow-up care.
Literature
1.
Parry C, Kent EE, Mariotto AB, Alfano CM, Rowland JH. Cancer survivors: a booming population. Cancer Epidemiol Biomark Prev. 2011;20:1996-2005.CrossRef
2.
Hewitt ME, Greenfield S, Stovall E, National Cancer Policy Board (U.S.), Committee on Cancer Survivorship: Improving Care and Quality of Life. From Cancer Patient to Cancer Survivor: Lost in Transition. Washington, DC: National Academies Press; 2006.
3.
4.
Ogle KS, Swanson GM, Woods N, Azzouz F. Cancer and comorbidity: redefining chronic diseases. Cancer. 2000;88:653-663.PubMedCrossRef
5.
Sunga AY, Eberl MM, Oeffinger KC, Hudson MM, Mahoney MC. Care of cancer survivors. Am Fam Physician. 2005;71:699-706.PubMed
6.
Demark-Wahnefried W, Pinto BM, Gritz ER. Promoting health and physical function among cancer survivors: potential for prevention and questions that remain. J Clin Oncol. 2006;24:5125-5131.PubMedCrossRef
7.
Baker F, Denniston M, Smith T, West MM. Adult cancer survivors: how are they faring? Cancer. 2005;104:2565-2576.PubMedCrossRef
8.
Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM. Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol. 2005;23:5814-5830.PubMedCrossRef
9.
Kattlove H, Winn RJ. Ongoing care of patients after primary treatment for their cancer. CA Cancer J Clin. 2003;53:172-196.PubMedCrossRef
10.
Miller DC, Sanda MG, Dunn RL, et al. Long-term outcomes among localized prostate cancer survivors: health-related quality-of-life changes after radical prostatectomy, external radiation, and brachytherapy. J Clin Oncol. 2005;23:2772-2780.PubMedCrossRef
11.
Wei JT, Dunn RL, Sandler HM, et al. Comprehensive comparison of health-related quality of life after contemporary therapies for localized prostate cancer. J Clin Oncol. 2002;20:557-566.PubMedCrossRef
12.
Shrader-Bogen CL, Kjellberg JL, McPherson CP, Murray CL. Quality of life and treatment outcomes: prostate carcinoma patients' perspectives after prostatectomy or radiation therapy. Cancer. 1997;79:1977-1986.PubMedCrossRef
13.
Hewitt ME, Ganz PA, Institute of Medicine (U.S.), American Society of Clinical Oncology (U.S.). From Cancer Patient to Cancer Survivor: Lost in Transition: An American Society of Clinical Oncology and Institute of Medicine Symposium. Washington, DC: National Academies Press; 2006.
14.
Hudson SV, Chubak J, Coups EJ, et al. Identifying key questions to advance research and practice in cancer survivorship follow-up care: a report from the ASPO Survivorship Interest Group. Cancer Epidemiol Biomark Prev. 2009;18:2152-2154.CrossRef
15.
Miller SM, American Psychological Association. Handbook of Cancer Control and Behavioral Science: A Resource for Researchers, Practitioners, and Policy Makers. 1st ed. Washington, DC: American Psychological Association; 2009.
16.
17.
Arrow K, Auerbach A, Bertko J, et al. Toward a 21st-century health care system: recommendations for health care reform. Ann Intern Med. 2009;150:493-495.PubMed
18.
Scholle SH, Saunders RC, Tirodkar MA, Torda P, Pawlson LG. Patient-centered medical homes in the United States. J Ambul Care Manag. 2011;34:20-32.
19.
Sia C, Tonniges TF, Osterhus E, Taba S. History of the medical home concept. Pediatrics. 2004;113:1473-1478.PubMed
20.
Wise CG, Alexander JA, Green LA, Cohen GR, Koster CR. Journey toward a patient-centered medical home: readiness for change in primary care practices. Milbank Q. 2011;89:399-424.PubMedCrossRef
21.
National Committee for Quality Assurance. NCQA’s Patient-Centered Medical Home (PCMH) 2011 Standards and Guidelines. Retrieved 04/19/2012, 2012 from http://​www.​ncqa.​org/​tabid/​631/​default.​aspx
22.
Nutting PA, Crabtree BF, Miller WL, et al. Transforming physician practices to patient-centered medical homes: lessons from the national demonstration project. Health Aff (Millwood). 2011;30:439-445.CrossRef
23.
Gruman J, Rovner MH, French ME, et al. From patient education to patient engagement: implications for the field of patient education. Patient Educ Couns. 2010;78:350-356.PubMedCrossRef
24.
Institute of Medicine (U.S.), Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.
25.
26.
Hibbard JH. Moving toward a more patient-centered health care delivery system. Health Aff (Millwood). 2004, Suppl Variation:VAR133-135.
27.
Hibbard JH, Mahoney E. Toward a theory of patient and consumer activation. Patient Educ Couns. 2010;78:377-381.PubMedCrossRef
28.
Shapiro CL, McCabe MS, Syrjala KL, et al. The LIVESTRONG Survivorship Center of Excellence Network. J Cancer Surviv. 2009;3:4-11.PubMedCrossRef
29.
30.
Jacobs LA, Palmer SC, Schwartz LA, et al. Adult cancer survivorship: evolution, research, and planning care. CA Cancer J Clin. 2009;59:391-410.PubMedCrossRef
31.
Hill-Kayser CE, Vachani C, Hampshire MK, Jacobs LA, Metz JM. Utilization of internet-based survivorship care plans by lung cancer survivors. Clin Lung Cancer. 2009;10:347-352.PubMedCrossRef
32.
Hill-Kayser CE, Vachani C, Hampshire MK, Jacobs LA, Metz JM. An internet tool for creation of cancer survivorship care plans for survivors and health care providers: design, implementation, use and user satisfaction. J Med Internet Res. 2009;11:e39.PubMedCrossRef
33.
Hudson SV, Miller SM, Hemler J, et al. "Not what I want, but maybe what I need": adult cancer survivor discuss follow-up in primary care. Annals of Family Medicine. 2012, in press.
34.
Crabtree BF, Miller WL. Doing Qualitative Research. 2nd ed. Thousand Oaks, Calif.: Sage Publications; 1999.
35.
Denzin NK, Lincoln YS. Handbook of Qualitative Research. 2nd ed. Thousand Oaks, Calif.: Sage Publications; 2000.
36.
Miles MB, Huberman AM. Qualitative Data Analysis: An Expanded Sourcebook. 2nd ed. Thousand Oaks: Sage Publications; 1994.
37.
Muhr T. ATLAS.ti. Berlin: Scientific Software Development 2006.
38.
Kirchner J, Edlund CN, Henderson K, et al. Using a multi-level approach to implement a primary care mental health (PCMH) program. Fam Syst Health. 2010;28:161-174.PubMedCrossRef
39.
Nutting PA, Crabtree BF, Miller WL, et al. Journey to the patient-centered medical home: a qualitative analysis of the experiences of practices in the National Demonstration Project. Ann Fam Med. 2010;8(Suppl 1):S45-S56. S92.PubMedCrossRef
40.
Nutting PA, Crabtree BF, Stewart EE, et al. Effect of facilitation on practice outcomes in the National Demonstration Project model of the patient-centered medical home. Ann Fam Med. 2010;8(Suppl 1):S33-S44. S92.PubMedCrossRef
41.
Nutting PA, Miller WL, Crabtree BF, et al. Initial lessons from the first national demonstration project on practice transformation to a patient-centered medical home. Ann Fam Med. 2009;7:254-260.PubMedCrossRef
42.
Richmeier S. Will the real PCMH step forward? MGMA Connex. 2011;11:19-20.PubMed
43.
Sepucha KR, Fowler FJ, Jr., Mulley AG, Jr. Policy support for patient-centered care: the need for measurable improvements in decision quality. Health Aff (Millwood). 2004, Suppl Variation:VAR54-62.
44.
Nielsen-Bohlman L, Institute of Medicine (U.S.), Committee on Health Literacy. Health Literacy: A Prescription to End Confusion. Washington, DC: National Academies Press; 2004.
45.
Hernandez LM, Institute of Medicine (U.S.), Roundtable on Health Literacy. Health Literacy, eHealth, and Communication: Putting The Consumer First: Workshop Summary. Washington, DC: National Academies Press; 2009.
46.
Wizemann TM, Institute of Medicine (U.S.), Roundtable on Health Literacy, Institute of Medicine (U.S.), Board on Population Health and Public Health Practice. Health Literacy Implications for Health Care Reform: Workshop Summary. Washington, DC: National Academies Press; 2011.
47.
Institute of Medicine (U.S.), Forum on the Science of Health Care Quality Improvement and Implementation, Chao S, Anderson K, et al. Toward Health Equity and Patient-Centeredness: Integrating Health Literacy, Disparities Reduction, and Quality Improvement: Workshop Summary. Washington, DC: National Academies Press; 2009.
48.
Zarcadoolas C, Pleasant AF, Greer DS. Advancing Health Literacy: A Framework for Understanding and Action. 1st ed. San Francisco, CA: Jossey-Bass; 2006.
49.
Hibbard JH, Mahoney ER, Stock R, Tusler M. Do increases in patient activation result in improved self-management behaviors? Health Serv Res. 2007;42:1443-1463.PubMedCrossRef
50.
Hibbard JH, Mahoney ER, Stockard J, Tusler M. Development and testing of a short form of the patient activation measure. Health Serv Res. 2005;40:1918-1930.PubMedCrossRef
51.
52.
Garrett M. Understanding medical home: a new opportunity for case managers. Prof Case Manag. 2009;14:3-4.PubMed
Metadata
Title
Cancer survivors and the patient-centered medical home
Authors
Shawna V. Hudson, PhD
Suzanne M. Miller, PhD
Jennifer Hemler, MA
Aneesah McClinton, BS
Kevin C. Oeffinger, MD
Alfred Tallia, MD
Benjamin F. Crabtree, PhD
Publication date
01-09-2012
Publisher
Springer-Verlag
Published in
Translational Behavioral Medicine / Issue 3/2012
Print ISSN: 1869-6716
Electronic ISSN: 1613-9860
DOI
https://doi.org/10.1007/s13142-012-0138-3

Other articles of this Issue 3/2012

Translational Behavioral Medicine 3/2012 Go to the issue

Editorial

The patient centered medical home: a great opportunity to move beyond brilliant and irrelevant

Policy Brief

Integrating behavioral health services within military health system: a model for opportunities and challenges

EBBM Column

Developing a patient-centered medical home: synopsis and comment on “Patient preferences for shared decisions: a systematic review”

Commentary

News from NIH: the patient-centered medical home

Original Research

Successful dissemination of Fun 5 — a physical activity and nutrition program for children

Essay/Opinion Piece

News from the CDC: Integrating Behavioral Health into the Patient-Centered Medical Home