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Lancet Oncol. 2017 Jan;18(1):e30-e38. doi: 10.1016/S1470-2045(16)30570-8.

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

Author information

1
Division of General Medicine and Primary Care, Department of Medicine, Brigham & Women's Hospital and Department of Population Medicine, Harvard Medical School, Boston, MA, USA. Electronic address: lnekhlyudov@partners.org.
2
Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Rutgers School of Social Work, New Brunswick, NJ, USA.
3
Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.

Abstract

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.

PMID:
28049575
PMCID:
PMC5553291
DOI:
10.1016/S1470-2045(16)30570-8
[Indexed for MEDLINE]
Free PMC Article

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