Skip to main content
Journal cover image

Implementing novel models of posttreatment care for cancer survivors: Enablers, challenges and recommendations.

Publication ,  Journal Article
Jefford, M; Kinnane, N; Howell, P; Nolte, L; Galetakis, S; Bruce Mann, G; Naccarella, L; Lai-Kwon, J; Simons, K; Avery, S; Thompson, K ...
Published in: Asia Pac J Clin Oncol
December 2015

AIM: The American Society of Clinical Oncology and US Institute of Medicine emphasize the need to trial novel models of posttreatment care, and disseminate findings. In 2011, the Victorian State Government (Australia) established the Victorian Cancer Survivorship Program (VCSP), funding six 2-year demonstration projects, targeting end of initial cancer treatment. Projects considered various models, enrolling people of differing cancer types, age and residential areas. We sought to determine common enablers of success, as well as challenges/barriers. METHODS: Throughout the duration of the projects, a formal "community of practice" met regularly to share experiences. Projects provided regular formal progress reports. An analysis framework was developed to synthesize key themes and identify critical enablers and challenges. Two external reviewers examined final project reports. Discussion with project teams clarified content. RESULTS: Survivors reported interventions to be acceptable, appropriate and effective. Strong clinical leadership was identified as a critical success factor. Workforce education was recognized as important. Partnerships with consumers, primary care and community organizations; risk stratified pathways with rapid re-access to specialist care; and early preparation for survivorship, self-management and shared care models supported positive project outcomes. Tailoring care to individual needs and predicted risks was supported. Challenges included: lack of valid assessment and prediction tools; limited evidence to support novel care models; workforce redesign; and effective engagement with community-based care and issues around survivorship terminology. CONCLUSION: The VCSP project outcomes have added to growing evidence around posttreatment care. Future projects should consider the identified enablers and challenges when designing and implementing survivorship care.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Asia Pac J Clin Oncol

DOI

EISSN

1743-7563

Publication Date

December 2015

Volume

11

Issue

4

Start / End Page

319 / 327

Location

Australia

Related Subject Headings

  • United States
  • Survivors
  • Oncology Nursing
  • Oncology & Carcinogenesis
  • Neoplasms
  • Humans
  • Health Plan Implementation
  • Continuity of Patient Care
  • Australia
  • Aftercare
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Jefford, M., Kinnane, N., Howell, P., Nolte, L., Galetakis, S., Bruce Mann, G., … Whitfield, K. (2015). Implementing novel models of posttreatment care for cancer survivors: Enablers, challenges and recommendations. Asia Pac J Clin Oncol, 11(4), 319–327. https://doi.org/10.1111/ajco.12406
Jefford, Michael, Nicole Kinnane, Paula Howell, Linda Nolte, Spiridoula Galetakis, Gregory Bruce Mann, Lucio Naccarella, et al. “Implementing novel models of posttreatment care for cancer survivors: Enablers, challenges and recommendations.Asia Pac J Clin Oncol 11, no. 4 (December 2015): 319–27. https://doi.org/10.1111/ajco.12406.
Jefford M, Kinnane N, Howell P, Nolte L, Galetakis S, Bruce Mann G, et al. Implementing novel models of posttreatment care for cancer survivors: Enablers, challenges and recommendations. Asia Pac J Clin Oncol. 2015 Dec;11(4):319–27.
Jefford, Michael, et al. “Implementing novel models of posttreatment care for cancer survivors: Enablers, challenges and recommendations.Asia Pac J Clin Oncol, vol. 11, no. 4, Dec. 2015, pp. 319–27. Pubmed, doi:10.1111/ajco.12406.
Jefford M, Kinnane N, Howell P, Nolte L, Galetakis S, Bruce Mann G, Naccarella L, Lai-Kwon J, Simons K, Avery S, Thompson K, Ashley D, Haskett M, Davies E, Whitfield K. Implementing novel models of posttreatment care for cancer survivors: Enablers, challenges and recommendations. Asia Pac J Clin Oncol. 2015 Dec;11(4):319–327.
Journal cover image

Published In

Asia Pac J Clin Oncol

DOI

EISSN

1743-7563

Publication Date

December 2015

Volume

11

Issue

4

Start / End Page

319 / 327

Location

Australia

Related Subject Headings

  • United States
  • Survivors
  • Oncology Nursing
  • Oncology & Carcinogenesis
  • Neoplasms
  • Humans
  • Health Plan Implementation
  • Continuity of Patient Care
  • Australia
  • Aftercare