Models of survivorship care

The construct behind the term “model” relates to the cohesiveness of a program that infers more than one service. In the Technical Brief, we describe various types of models found in the literature.

  1. Consultative model: the patient is primarily seen by primary care or survivorship care team, but periodically or on an as-needed basis refers to the oncology team for services.
  2. Multidisciplinary clinic: specialty (i.e., oncology) clinics coordinate with primary care and other medical service clinics to provide survivorship care.
  3. Integrated care model: each member of the patient's survivorship care experience communicates with each other and within a commonly agreed-upon system of care that establishes pre-determined roles (may share features with shared-care).
  4. Transition to primary care: the patient moves from predominantly oncology team care during active treatment to primary care for survivorship services.
  5. Shared-care model: the primary care team and the oncology team both provide health care to the cancer survivor (may share features with integrated care). Does not have to occur in an integrated system.
  6. Survivorship care plan (SCP): medically guided instructions for patient care during the survivorship stage based on an assessment of patient needs.
  7. Patient navigator: a lay/peer health partner who serves as a resource to the patient about survivorship care and as a liaison between the patient and the medical team and services.