Bridging the gap from the oncology setting to community care through a cross-Canada environmental scan

Danielle M. Wittal

Abstract


Due to the growing number of cancer survivors, there is a need to evaluate the provision of follow-up care to ensure the needs of patients are met. An environmental scan was conducted provincially and nationally, which aimed to gain a broader understanding of survivorship care, highlight any trends, and report disparities in care during the transition from the oncology to the community setting. The environmental scan involved gathering data from nine out of 10 provinces through telephone interviews, seeking relevant documentation, and identifying areas of good practice. There was a wide variation in practice across the provinces and some recommendations for improving care are made. Findings emphasize the need to promote increased patient self-management and self-advocacy. Implications from the study are that cancer survivorship is a complex topic that requires communication and coordination across services to ensure a seamless transition.


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References


Ackerman, S., Gleaon, N., Monacelli, J., Collado, D., Wang, M., Ho, C., … Gonzales, R. (2014). When to repatriate? Clinicians’ perspectives on the transfer of patient management from specialty to primary care. Journal of General Internal Medicine, 29(10), 1355–1361.

British Columbia Cancer Agency (BCCA). (2015). Survivorship & primary care program. Retrieved from http://www.bccancer.bc.ca/health-professionals/professional-resources/survivorship-primary-care

Canadian Cancer Society. (2015). Cancer statistics at a glance. Retrieved from http://www.cancer.ca/en/cancer-information/cancer-101/cancer-statistics-at-a-glance/?region=on

Cheung, W., Aziz, N., Noone, A., Rowland, J., Potosky, A., Ayanian, J., … Earle, C. (2013). Physician preferences and attitudes regarding different models of cancer survivorship care: A comparison of primary care providers and oncologists. Journal of Cancer Survivorship, 7, 343–354.

Dawes, A., Hemmelgarn, M., Nguyen, D., Sacks, G., Clayton, S., Cope, J., … Maggard-Gibbons, M. (2015). Are primary care providers prepared to care for survivors of breast cancer in the safety net? Cancer, 121(8), 1249–1259.

Del Guidice, M., Grunfeld, E., Harvey, B., Piliotis, E., & Verma, S. (2009). Primary care physicians’ views of routine follow-up care of cancer survivors. Journal of Clinical Oncology, 27(20), 3338–3345.

Earle, C., Burstein, H., Winer, E., & Weeks, J. (2003). Quality of non-breast cancer health maintenance among elderly breast cancer survivors. Journal of Clinical Oncology, 21(8), 1447–1451.

Earle, C. & Neville, B. (2004). Underuse of necessary care among elderly colorectal cancer survivors. Cancer, 101(8), 1712–1719.

Fereday, J., & Muir-Cochrane, E. (2006). Demonstrating rigour using thematic analysis: A hybrid approach of inductive and deductive coding and theme development. International Journal of Qualitative Methods, 5(1), 80–92.

Ganz, P., Casillas, J., & Hahn, E. (2008). Ensuring quality care for cancer survivors: Implementing the survivorship care plan. Seminars in Oncology Nursing, 24(3), 208–217.

Government of Canada. (2014). Statistics Canada: Health facts sheet. Ottawa: Statistics Canada.

Grunfeld, E. (2006). Looking beyond survival: How are we looking at survivorship. Journal of Clinical Oncology, 24(32), 5166–5169.

Grunfeld, E., & Earle, C. (2010). The interface between primary and oncology specialty care: Treatment through survivorship. Journal of National Cancer Institute Monographs, 40, 25–30.

Grunfeld, E., Gray, A., Mant, D., Yudkin, P., Adewuyi-Dalton, R., Coyle, D., et al. (1999). Follow-up of breast cancer in primary care vs specialists care: Results of an economic evaluation. British Journal of Cancer, 79(7/8), 1227–1233.

Grunfeld, E., Levine, M., Julian, J., Coyle, D., Szechtman, B., Mirsky, D., et al. (2006). Randomized control trial of long-term follow-up for early-stage breast cancer: A comparison of family physician versus specialist care. Journal of Clinical Oncology, 24(6), 848–855.

Grunfeld, E., Mant, D., Yudkin, P., Adewuyi-Dalton, R., Cole, D., Stewart, J., et al. (1996). Routine follow-up of breast cancer in primary care: Randomized control trial. British Medical Journal, 313(7058), 665–669.

Grunfeld, E., Yudkin, P., Adewuyi-Dalton, R., Vessey, M., & Mant, D. (1995). Follow-up in breast cancer. Quality of life unaffected by general practice follow-up. British Medical Journal, 11(6996), 54.

Hagan, T., & Donovan, H. (2012). Self-advocacy and cancer: A concept analysis. Journal of Advanced Nursing, 69, 2348–2359.

Haq, R., Baker, N., Dastur, D., Leung, F., Leung, E., Li, B., … Parsons, J. (2013). Designing a multifaceted survivorship care plan to meet the information and communication needs of breast cancer patients and their family physicians: Results of a qualitative pilot study. Medical Informatics and Decision Making, 13(76), 1–13.

Mao, J., Bowman, M., Stricker, C.T., DeMichele, A., Jacobs, L., Chan, D., & Armstrong, K. (2009). Delivery of survivorship care by primary care physicians: The perspective of breast cancer patients. Journal of Clinical Oncology, 27, 933–938.

McCabe, M., & Jacobs, L. (2012). Clinical update: Survivorship care- models and programs. Seminars in Oncology Nursing, 28(3), e1–e8.

Naidoo, J., Hayes, E., Teo, M., Morgan, A., Calvert, P., & O’Connor, M. (2013). An Irish breast cancer survivorship study: Are we meeting our patient’s needs? Irish Medical Journal, 106(9), 264–266.

Nissen, M., Beran, M., Lee, M., Mehta, S., Pine, D., & Swenson, K. (2007). Views of primary care providers on follow-up care of cancer patients. Family Medicine, 39, 477–482.

Salz, T., Oeffinger, K.C., Lewis, P.R., Williams, R.L., Rhyne, R.L., & Yeazel, M.W. (2012). Primary care providers’ needs and preferences for information about colorectal cancer survivorship care. Journal of the American Board of Family Medicine, 25, 635–651.

Sisler, J., Brown, J., & Stewart, M. (2004). Family physicians’ roles in cancer care: Survey of patients on a provincial cancer registry. Canadian Family Physician, 50, 889–896.

Smith, S., Singh-Carlson, S., Downie, L., Payeur, N., & Wai, E. (2011). Survivors of breast cancer: Patient perspectives on survivorship care planning. Journal of Cancer Survivorship, 5, 337–344.

Snyder, C., Earle, C., Herbert, R., Neville, B., Blackford, A., & Frick, K. (2008). Preventative care for colorectal cancer survivors: A 5-year longitudinal study. Journal of Clinical Oncology, 26(7), 1073–1079.

Urquhart, R., Folkes, A., Babineau, J., & Grunfeld, E. (2012). Views of breast and colorectal cancer survivors on their routine follow-up care. Current Oncology, 19(6), 294–301.

Wattchow, D., Weller, D., Esterman, A., Pilotto, L., McGorm, K., Hammett, Z., … Silagy, C. (2006). General practice vs surgical-based follow-up for patients with colon cancer: Randomised controlled trial. British Journal of Cancer, 94(8), 1116–1121.

Wiljer, D., Urowitz, S., Jones, J., Kornblum, A., Secord, S., & Catton, P. (2013). Exploring the use of the survivorship consult in providing survivorship care. Support Care Cancer, 21, 2117–2124.

Wood, M.L. (1993). Communication between cancer specialists and family doctors. Canadian Family Physician, 39, 49–57.

Ye, A., Cheung, W., Goddard, K., Horvat, D., & Olson, R. (2015). Follow-up patterns of cancer survivors: A survey of Canadian radiation oncologists. Journal of Cancer Survivorship, 9, 388–403.


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