Survivorship Programs and Care Plans in Practice: Variations on a Theme
Erin E. Hahn, MPH and Patricia A. Ganz, MD
+ Author Affiliations
Division of Cancer Prevention & Control Research and UCLA-LIVESTRONG Survivorship Center of Excellence, Jonsson Comprehensive Cancer Center at UCLA; UCLA Schools of Medicine & Public Health, Los Angeles, CA
Corresponding author: Erin E. Hahn, MPH, Division of Cancer Prevention & Control Research, Jonsson Comprehensive Cancer Center, 650 Charles Young Dr South, Room A2-125 CHS, Los Angeles, CA 90095-6900, e-mail: EHahn@mednet.ucla.edu.
Abstract
Purpose: This qualitative study examined cancer survivorship programs at four health care organizations in Los Angeles County, CA: an academic medical center, a community hospital, a primary-care medical group, and a county hospital. The purpose was to describe the successful implementation of four distinctly different models of care, focusing on the creative development and use of the Institute of Medicine–recommended survivorship care plan (SCP) document in each setting.
Methods: In-depth semistructured interviews were done with survivorship teams to characterize each program and the development and use of the SCP at each institution.
Results: Each survivorship program has developed and implemented unique types of SCP documents. Specifically, a comprehensive SCP at the academic center, completed by the clinical team, which covers many facets of cancer survivorship; a patient-directed SCP at the community hospital, completed by the survivor with assistance of an oncology nurse and focused on treatment history and appropriate surveillance; an adapted ASCO SCP template at the primary-care medical group, completed via a partnership with contracted oncologists and focused on the treatment history, surveillance, and shared care between oncology and primary care; an adapted ASCO SCP template at the county hospital, completed by the survivorship nurse practitioner and focused on patient education, post-treatment care, and institutional care coordination.
Conclusion: The SCP document is a flexible tool that can be successfully adapted for use in extremely varied settings, from primary care to hospitals, to inform and educate patients and providers alike.
Accepted October 26, 2010.
Survivorship Programs and Care Plans in Practice: Variations on a Theme — JOP
Table of Contents — March 2011, 7 (2) — JOP
Table of Contents — March 2011, 7 (2) — JOP
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