Appearance
Equitably improving outcomes for cancer survivors and supporting caregivers: A blueprint for care delivery, research, education, and policy.
Literature Information
| DOI | 10.3322/caac.21548 |
|---|---|
| PMID | 30376182 |
| Journal | CA: a cancer journal for clinicians |
| Impact Factor | 232.4 |
| JCR Quartile | Q1 |
| Publication Year | 2019 |
| Times Cited | 75 |
| Keywords | cancer survivors, disease management, evidence-based practice, health policy, survivorship |
| Literature Type | Journal Article |
| ISSN | 0007-9235 |
| Pages | 35-49 |
| Issue | 69(1) |
| Authors | Catherine M Alfano, Corinne R Leach, Tenbroeck G Smith, Kim D Miller, Kassandra I Alcaraz, Rachel S Cannady, Richard C Wender, Otis W Brawley |
TL;DR
This research highlights the urgent need for coordinated and personalized care for cancer survivors, driven by increasing survivor populations, provider shortages, and rising healthcare costs. The authors propose critical priorities for improving care delivery, including regular assessments of needs, tailored information and referrals, and the dissemination of innovative care methods to enhance outcomes for survivors and support their caregivers.
Search for more papers on MaltSci.com
cancer survivors · disease management · evidence-based practice · health policy · survivorship
Abstract
Cancer care delivery is being shaped by growing numbers of cancer survivors coupled with provider shortages, rising costs of primary treatment and follow-up care, significant survivorship health disparities, increased reliance on informal caregivers, and the transition to value-based care. These factors create a compelling need to provide coordinated, comprehensive, personalized care for cancer survivors in ways that meet survivors' and caregivers' unique needs while minimizing the impact of provider shortages and controlling costs for health care systems, survivors, and families. The authors reviewed research identifying and addressing the needs of cancer survivors and caregivers and used this synthesis to create a set of critical priorities for care delivery, research, education, and policy to equitably improve survivor outcomes and support caregivers. Efforts are needed in 3 priority areas: 1) implementing routine assessment of survivors' needs and functioning and caregivers' needs; 2) facilitating personalized, tailored, information and referrals from diagnosis onward for both survivors and caregivers, shifting services from point of care to point of need wherever possible; and 3) disseminating and supporting the implementation of new care methods and interventions.
MaltSci.com AI Research Service
Intelligent ReadingAnswer any question about the paper and explain complex charts and formulas
Locate StatementsFind traces of a specific claim within the paper
Add to KBasePerform data extraction, report drafting, and advanced knowledge mining
Primary Questions Addressed
- What specific strategies can be implemented to address the health disparities faced by cancer survivors?
- How can informal caregivers be better supported in their roles to improve the overall care delivery for cancer survivors?
- What role does value-based care play in shaping the future of cancer survivorship programs?
- How can routine assessments of survivors' and caregivers' needs be effectively integrated into existing cancer care frameworks?
- What are the potential challenges and solutions in disseminating new care methods and interventions for cancer survivors and their caregivers?
Key Findings
1. Research Background and Objectives
The study addresses the evolving landscape of cancer care, which has been significantly influenced by the increasing number of cancer survivors, shortages in healthcare providers, and the rising costs associated with primary treatment and follow-up care. Additionally, it highlights the significant health disparities in survivorship and the growing reliance on informal caregivers. With the shift towards value-based care, there is a pressing need to develop a coordinated and comprehensive approach that caters to the distinct needs of cancer survivors and their caregivers. The primary objective of the research is to identify and establish critical priorities for care delivery, research, education, and policy that will equitably improve outcomes for cancer survivors while effectively supporting caregivers.
2. Main Methods and Findings
The authors conducted a thorough review of existing research focused on the needs of cancer survivors and their caregivers. This synthesis of existing literature enabled them to outline specific priorities essential for enhancing care delivery. The research identified three critical areas for intervention:
Routine Assessment: There is a need for consistent evaluation of the needs and functioning of cancer survivors and their caregivers to ensure that care is tailored to individual circumstances.
Personalized Information and Referrals: The study emphasizes the importance of facilitating personalized, tailored information and referrals. This approach should start from the point of diagnosis and continue throughout the survivorship journey, ensuring services are accessible at the point of need rather than solely at the point of care.
Dissemination of New Care Methods: The authors advocate for the dissemination and implementation of innovative care methods and interventions that have been proven effective in supporting cancer survivors and their caregivers.
3. Core Conclusions
The research concludes that in order to equitably improve outcomes for cancer survivors and support their caregivers, healthcare systems must prioritize the routine assessment of needs, enhance the accessibility and personalization of information and referrals, and actively disseminate new care methods. The emphasis on these areas is crucial for addressing the complexities of cancer survivorship and the associated caregiving challenges.
4. Research Significance and Impact
The significance of this research lies in its comprehensive approach to addressing the multifaceted challenges faced by cancer survivors and their caregivers. By proposing a blueprint for care delivery that incorporates routine assessments and tailored support, the study aims to reduce health disparities and improve overall quality of life for survivors. Furthermore, its insights are poised to influence healthcare policies and practices, ultimately leading to a more equitable healthcare system that effectively meets the needs of cancer survivors and their families. The findings underscore the necessity for systemic changes in care delivery that align with the transition to value-based care, ensuring sustainability and efficiency in managing the growing population of cancer survivors.
Literatures Citing This Work
- Personalized Risk-Stratified Cancer Follow-Up Care: Its Potential for Healthier Survivors, Happier Clinicians, and Lower Costs. - Deborah K Mayer;Catherine M Alfano - Journal of the National Cancer Institute (2019)
- Family Caregivers' Unmet Needs in Long-term Cancer Survivorship. - Youngmee Kim;Charles S Carver;Amanda Ting - Seminars in oncology nursing (2019)
- Comorbidities, treatment-related consequences, and health-related quality of life among rural cancer survivors. - Shaila M Strayhorn;Leslie R Carnahan;Kristine Zimmermann;Theresa A Hastert;Karriem S Watson;Carol Estwing Ferrans;Yamilé Molina - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer (2020)
- A health services research agenda to fully integrate cancer rehabilitation into oncology care. - Mackenzi Pergolotti;Catherine M Alfano;Alison N Cernich;K Robin Yabroff;Peter R Manning;Janet S de Moor;Erin E Hahn;Andrea L Cheville;Supriya G Mohile - Cancer (2019)
- Association of hormone replacement therapy with mortality in colorectal cancer survivor: a systematic review and meta-analysis. - Yeu-Chai Jang;Hsi-Lan Huang;Chi Yan Leung - BMC cancer (2019)
- Access to Cancer Care Resources in a Federally Qualified Health Center: a Mixed Methods Study to Increase the Understanding of Met and Unmet Needs of Cancer Survivors. - Darryl Somayaji;Maribel Melendez;Misol Kwon;Christopher Lathan - Journal of cancer education : the official journal of the American Association for Cancer Education (2021)
- Body mass index trends and quality of life from breast cancer diagnosis through seven years' survivorship. - Allison Brandt Anbari;Chelsea B Deroche;Jane M Armer - World journal of clinical oncology (2019)
- Health behaviors of caregivers of childhood cancer survivors: a cross-sectional study. - In Young Cho;Nack-Gyun Chung;Hee Jo Baek;Ji Won Lee;Ki Woong Sung;Dong Wook Shin;Jung Eun Yoo;Yun-Mi Song - BMC cancer (2020)
- Personalized Cancer Follow-Up Care Pathways: A Delphi Consensus of Research Priorities. - Corinne R Leach;Catherine M Alfano;Jessica Potts;Lisa Gallicchio;K Robin Yabroff;Kevin C Oeffinger;Erin E Hahn;Lawrence N Shulman;Shawna V Hudson - Journal of the National Cancer Institute (2020)
- Strategies to Prevent or Remediate Cancer and Treatment-Related Aging. - Jennifer L Guida;Tanya Agurs-Collins;Tim A Ahles;Judith Campisi;William Dale;Wendy Demark-Wahnefried;Jorg Dietrich;Rebecca Fuldner;Lisa Gallicchio;Paige A Green;Arti Hurria;Michelle C Janelsins;Chamelli Jhappan;James L Kirkland;Ronald Kohanski;Valter Longo;Simin Meydani;Supriya Mohile;Laura J Niedernhofer;Christian Nelson;Frank Perna;Keri Schadler;Jessica M Scott;Jennifer A Schrack;Russell P Tracy;Jan van Deursen;Kirsten K Ness - Journal of the National Cancer Institute (2021)
... (65 more literatures)
© 2025 MaltSci - We reshape scientific research with AI technology