Display options
Share it on

Int J Integr Care. 2018 Jan 16;18(1):4. doi: 10.5334/ijic.3046.

Cancer Survivorship Care: Person Centered Care in a Multidisciplinary Shared Care Model.

International journal of integrated care

Jacqueline J Loonen, Nicole Ma Blijlevens, Judith Prins, Desiree Js Dona, Jaap Den Hartogh, Theo Senden, Eline van Dulmen-Den Broeder, Koos van der Velden, Rosella Pmg Hermens

Affiliations

  1. Department of Hematology, Radboudumc, Geert Grooteplein-Zuid 8 (route 476), 6525 GA Nijmegen, NL.
  2. Department of Medical Psychology, Radboudumc, Geert Grooteplein- zuid 10 (route 840), 6525 GA Nijmegen, NL.
  3. Department Occupational Health, Radboudumc, Erasmuslaan 17 (route 980), 6525 GE Nijmegen, NL.
  4. Dutch Childhood Cancer Parent Organization VOKK Netherlands, Department VOX Survivors, Schouwstede 2-B, 3431 JB Nieuwegein, NL.
  5. Department Academic Workplace Care for Work, Radboudumc, Geert Grooteplein-zuid 10 (route 623), 6525 GA Nijmegen, NL.
  6. Department of Pediatrics, Division Pediatric Oncology/Hematology, VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, NL.
  7. Department of Primary and Community Care, Radboudumc Geert Grooteplein-noord 21, 6525 EZ Nijmegen, NL.
  8. Radboud Institute for Health Sciences (RIHS), Scientific Institute for Quality of healthcare (IQ healthcare), Radboudumc, Geert Grooteplein-noord 21 (route 114), 6525 EZ Nijmegen, NL.

PMID: 29588641 PMCID: PMC5854087 DOI: 10.5334/ijic.3046

Abstract

Survivors of childhood and adult-onset cancer are at lifelong risk for the development of late effects of treatment that can lead to serious morbidity and premature mortality. Regular long-term follow-up aiming for prevention, early detection and intervention of late effects can preserve or improve health. The heterogeneous and often serious character of late effects emphasizes the need for specialized cancer survivorship care clinics. Multidisciplinary cancer survivorship care requires a coordinated and well integrated health care environment for risk based screening and intervention. In addition survivors engagement and adherence to the recommendations are also important elements. We developed an innovative model for integrated care for cancer survivors, the "Personalized Cancer Survivorship Care Model", that is being used in our clinic. This model comprises 1. Personalized follow-up care according to the principles of Person Centered Care, aiming to empower survivors and to support self management, and 2. Organization according to a multidisciplinary and risk based approach. The concept of person centered care is based on three components: initiating, integrating and safeguarding the partnership with the patient. This model has been developed as a universal model of care that will work for all cancer survivors in different health care systems. It could be used for studies to improve self efficacy and the cost-effectiveness of cancer survivorship care.

Keywords: Cancer survivorship care; Person centered care

References

  1. J Oncol Pract. 2015 May;11(3):e445-9 - PubMed
  2. JAMA. 2007 Jun 27;297(24):2705-15 - PubMed
  3. Am Soc Clin Oncol Educ Book. 2014;:205-13 - PubMed
  4. Semin Oncol. 2013 Dec;40(6):804-12 - PubMed
  5. Health Expect. 2016 Jun;19(3):516-26 - PubMed
  6. Eur J Cardiovasc Nurs. 2011 Dec;10(4):248-51 - PubMed
  7. Pediatr Blood Cancer. 2013 Apr;60(4):543-9 - PubMed
  8. Cancer. 2011 May 15;117(10 Suppl):2335-41 - PubMed
  9. Int J Integr Care. 2012 Sep 18;12(Spec Ed Integrated Care Pathways):e192 - PubMed
  10. J Clin Nurs. 2013 Feb;22(3-4):456-65 - PubMed
  11. Breast. 2014 Aug;23(4):364-70 - PubMed
  12. Curr Opin Support Palliat Care. 2013 Sep;7(3):314-7 - PubMed
  13. N Engl J Med. 2006 Oct 12;355(15):1572-82 - PubMed
  14. CA Cancer J Clin. 2015 Nov-Dec;65(6):428-55 - PubMed
  15. J Clin Oncol. 2014 May 20;32(15):1578-85 - PubMed
  16. J Clin Oncol. 2013 Feb 10;31(5):631-40 - PubMed
  17. Eur J Cancer. 2006 Dec;42(18):3186-90 - PubMed
  18. Am J Clin Oncol. 2015 Dec;38(6):627-33 - PubMed
  19. J Clin Oncol. 2004 Dec 15;22(24):4979-90 - PubMed
  20. Ann Intern Med. 2014 May 20;160(10 ):672-83 - PubMed
  21. Ann Intern Med. 2014 May 20;160(10 ):661-71 - PubMed
  22. J Clin Oncol. 2016 Feb 20;34(6):611-35 - PubMed
  23. Lancet Oncol. 2017 Jan;18(1):e19-e29 - PubMed
  24. N Engl J Med. 2016 Mar 3;374(9):833-42 - PubMed
  25. Cancer. 2015 Dec 15;121(24):4389-97 - PubMed
  26. BMJ. 2001 Aug 4;323(7307):271-4 - PubMed
  27. Health Aff (Millwood). 2010 Aug;29(8):1489-95 - PubMed

Publication Types