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Support Care Cancer. 2021 Sep;29(9):5021-5028. doi: 10.1007/s00520-021-06043-w. Epub 2021 Feb 15.

Developing a survivorship care plan (SCP) delivery process for patients and primary care providers serving poor, rural, and minority patients with cancer.

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

Bernard Tawfik, Shoshana Adler Jaffe, Lisa Mohler, Jamina Oomen-Hajagos, Inigo San Gil, Rachel Chamberlain, Suzanne Gagnon, Miria Kano, Amy Gundelach, Shawnia R Ryan, Janet Abernathy, Charles Wiggins, Andrew Sussman, Zoneddy Dayao

Affiliations

  1. University of New Mexico Comprehensive Cancer Center, MSC 07-4025, 1 University of New Mexico, Albuquerque, NM, 87131-0001, USA. [email protected].
  2. Department of Internal Medicine, Division of Hematology and Oncology, University of New Mexico, MSC 07-4025, 1 University of New Mexico, Albuquerque, NM, 87131-0001, USA. [email protected].
  3. Behavioral Measurement and Population Science, Comprehensive Cancer Center Shared Resource, UNM Comprehensive Cancer Center, MSC 07-4025, 1 University of New Mexico, Albuquerque, NM, 87131-0001, USA.
  4. University of New Mexico Comprehensive Cancer Center, MSC 07-4025, 1 University of New Mexico, Albuquerque, NM, 87131-0001, USA.
  5. Department of Family and Community Medicine, UNM Comprehensive Cancer Center, MSC 07-4025, 1 University of New Mexico, Albuquerque, NM, 87131-0001, USA.
  6. Department of Internal Medicine, Division of Epidemiology, Biostatistics, and Preventive Medicine, UNM Comprehensive Cancer Center, MSC 07-4025, 1 University of New Mexico, Albuquerque, NM, 87131-0001, USA.
  7. Department of Internal Medicine, Division of Hematology and Oncology, University of New Mexico, MSC 07-4025, 1 University of New Mexico, Albuquerque, NM, 87131-0001, USA.

PMID: 33587174 PMCID: PMC7883333 DOI: 10.1007/s00520-021-06043-w

Abstract

BACKGROUND: Survivorship care plans (SCPs) summarize patients' treatment and act as an education and communication tool between oncologists and primary care providers (PCPs). But creation and delivery of SCPs are challenging, labor intensive, and costly. The University of New Mexico Comprehensive Cancer Center (UNM CCC) treats a poor, rural, and minority patient population, and our purpose was to implement and evaluate a process to create and deliver SCPs to patients and PCPs.

METHODS: Providers placed an electronic SCP order, basic information was imported, and staff compiled treatment details. Flagged SCPs were then ready for delivery, providers approved of and delivered the SCP at the next encounter, and the SCP was sent to the PCP.

RESULTS: By April 2020, 283 SCPs were ordered, 241 (85.2%) were created by the designated staff, and 97 (34.2%) were given to patients after definitive therapy for breast cancer (59.1%), gynecological cancers (10.8%), prostate cancer (7.4%), colorectal cancer (5.1%), and lymphomas (4.8%). Of 97 SCPs eligible to be sent to PCPs, 75 (77.3%) were mailed or sent via EMR. Of the 41 (48.9%) SCPs sent via mail or fax, only 8 (8.3%) were received and 5 (5.2%) integrated.

CONCLUSIONS: This study shows that SCPs can be delivered to patients in a poor, rural, and minority patient population but that PCP receipt and integration of SCPs are poor. Future efforts need to ensure that an oncologist to PCP education and communication tool is able reach and be integrated by PCPs.

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.

Keywords: Cancer survivorship; Delivery; Electronic health records; Primary care providers; Survivorship care plans

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