Division of Public Health Services, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Oncologist. 2011;16(8):1189-96. doi: 10.1634/theoncologist.2011-0054. Epub 2011 Jul 17.
Although calls for improvements in cancer survivorship planning and programming exist, implementation has lagged. As with most guidelines, moving from recommendations to implementation requires active planning and systems changes to insure sustained use. Here, we draw on the latest in implementation science to outline a process that cancer organizations can use in designing, implementing, prioritizing, and evaluating cancer survivor programs to improve patient outcomes, using smoking cessation as a primary example. We consider the scientific evidence for benefit from interventions and the strategy for implementation and evaluation to sustain programs.
尽管人们呼吁改进癌症生存者规划和计划,但实施工作却滞后了。与大多数指南一样,从建议到实施需要积极的规划和系统变革,以确保持续使用。在这里,我们借鉴实施科学的最新成果,概述了一个癌症组织可以用来设计、实施、优先考虑和评估癌症生存者计划的过程,以改善患者的结局,以戒烟为例。我们考虑了干预措施的受益的科学证据以及实施和评估策略,以维持计划。