Integrating primary care providers in the care of cancer survivors: gaps in evidence and future opportunities

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• 作者：Dr Larissa Nekhlyudov ; MD^a ; ^{lnekhlyudov@partners.org} ; Denalee M O'malley ; MSW^b ; ^c ; Shawna V Hudson ; PhD^b ; ^d
• 刊名：The Lancet Oncology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：18
• 期：1
• 页码：e30-e38
• 全文大小：380 K
• 卷排序：18

文摘

Since the release of the Institute of Medicine report: From cancer patient to cancer survivor: lost in transition, in 2005, there has been a national call in the USA to provide coordinated, comprehensive care for cancer survivors, with an emphasis on the role of primary care. Several models of care have been described, which focus on primary care providers (PCPs) as receiving cancer survivors who are transferred after successful treatment, and who are given specific types of information from oncology-based care (eg, survivorship care plans), and not as active members of the cancer survivorship team. In this Series paper, we assessed survivorship models that have been described in the literature, with a specific focus on strategies that aim to integrate PCPs into the care of cancer survivors across different settings. We offer insights differentiating PCPs' level of expertise in cancer survivorship and how such expertise could be used. We provide recommendations for education, clinical practice, research, and policy initiatives that might advance the integration of PCPs in the care of cancer survivors in diverse clinical settings.