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Identifying Strategies for Robust Survivorship Program Implementation: A Qualitative Analysis of Cancer Programs

Authors :
Laura Viera
Sarah A. Birken
Lawrence N. Shulman
Sarah Asad
Lauren Richardson
Burcu Bozkurt
Deborah K. Mayer
Joseph Amarachi Ogbansiegbe
Caroline Buse
Tamara Huson
Ted A. James
Soohyun Hwang
Source :
JCO Oncol Pract
Publication Year :
2022
Publisher :
American Society of Clinical Oncology (ASCO), 2022.

Abstract

PURPOSE: The Commission on Cancer seeks to promote robust survivorship programs among accredited cancer programs. In practice, cancer programs' survivorship programs range from cursory (eg, developing care plans without robust services) to robust (eg, facilitating follow-up care). To inform cancer programs' future efforts, in this study, we identified the implementation strategies that cancer programs used to achieve robust survivorship programs, distinguishing them from cursory programs. METHODS: We sampled 39 cancer programs across the United States with approaches to survivorship program implementation ranging from cursory to robust on the basis of LIVESTRONG survivorship care consensus elements. Within sampled cancer programs, we conducted in-depth semistructured interviews with a total of 42 health care professionals. We used template analysis to distinguish implementation strategies used in cancer programs with robust survivorship programs from strategies that yielded cursory survivorship programs. RESULTS: Cancer programs with robust survivorship programs established clear systems survivorship care and formal committees to improve the survivorship care processes. They sought buy-in from multiple stakeholders to leverage cancer program resources and defined clear roles with shared accountability among multidisciplinary groups. By contrast, cancer programs with cursory survivorship programs reported less consistency in survivorship care processes and lacked buy-in from key stakeholders. They had limited resources, faced persistent structural concerns, and had insufficient clarity in roles among team members. CONCLUSION: Accrediting bodies may consider incorporating the implementation strategies that robust survivorship programs have used as guidance for supporting cancer programs in operationalizing survivorship care and evaluating the use of these strategies during the accreditation and review process.

Details

ISSN :
26881535 and 26881527
Volume :
18
Database :
OpenAIRE
Journal :
JCO Oncology Practice
Accession number :
edsair.doi.dedup.....0952e6d58626d89dce06093ba6bbc096