Recent Innovations in Primary Care Cancer Survivorship Care Delivery

• DOI: 10.1370/afm.21.s1.3654
• Publication Date: 2023-01-24T11:45:50Z
• Authors: Jennifer Hemler; Jenna Howard; Rachel Kurtzman; Lisa Mikesell; Benjamin Bates; Alicja Bator; Denalee O’Malley; Benjamin Crabtree; Shawna Hudson
• Keywords: Snowball sampling

<h3>Context:</h3> The IOM, NCI and professional organizations have endorsed an active role for primary care in the of individuals with a history cancer. While has not adopted this widely, innovations survivorship delivery emerged recent years. <h3>Objective:</h3> To describe emerging forms delivery. <h3>Study design analysis:</h3> As part larger NCI-funded study, we used snowball sampling to recruit 11 clinician innovators qualitative depth interviews before reaching saturation. We performed analysis by listening interview recordings, reading transcripts, writing case summaries, comparing key characteristics themes. supplemented online information about participants their settings. <h3>Setting:</h3> Primary clinics or cancer centers US. <h3>Population studied:</h3> Clinician care. <h3>Intervention/Instrument:</h3> Depth <h3>Outcome measures:</h3> Description major <h3>Results:</h3> identified three delivery: 1) integrating patients within regular panels; 2) “blocking” clinic hours cancer; 3) delivering centers. Innovators provided consultative empaneled They described structural elements enabling these forms: connections oncologists; having system wide EHR; holding longer visits; informational referral resources. how providing consistent enabled them develop “cancer lens” algorithm; they felt other clinicians needed be aware ask questions patient gain more comfort <h3>Conclusions:</h3> offer lessons supporting spread do need become specialists, but possible late effects treatments. Connecting oncology others knowledge, networks, sources are essential building care’s capacity