Birken Sarah A, Mayer Deborah K, Weiner Bryan J
Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, 1107A McGavran-Greenberg Hall, #7411, Chapel Hill, NC, 27599-7411, USA.
J Cancer Educ. 2013 Jun;28(2):290-6. doi: 10.1007/s13187-013-0469-x.
Survivorship care plans (SCPs) are intended to educate survivors and providers about survivors' transition from cancer treatment to follow-up care. Using a survey of 23 cancer programs in the South Atlantic United States, we (1) describe the prevalence and barriers to SCP use and (2) assess relationships between SCP use and (a) barriers and (b) cancer program characteristics. Most cancer programs (86 %) reported some SCP use; however, less than a quarter of cancer programs' providers had ever used an SCP. The majority (61 %) began using SCPs because of professional societies' recommendations. Key barriers to SCP use were insufficient organizational resources (75 %) and systems for SCP use. We found patterns in SCP use across location, program type, and professional society membership. Most cancer programs have adopted SCPs, but use remains inconsistent. Efforts to promote SCP use should address barriers, particularly in cancer programs that are susceptible to barriers to SCP use.
癌症生存护理计划(SCPs)旨在让幸存者和医疗服务提供者了解幸存者从癌症治疗过渡到后续护理的相关情况。通过对美国南大西洋地区23个癌症项目的调查,我们(1)描述了SCP使用的普及率和障碍,(2)评估了SCP使用与(a)障碍以及(b)癌症项目特征之间的关系。大多数癌症项目(86%)报告称使用了一些SCP;然而,不到四分之一的癌症项目的医疗服务提供者曾使用过SCP。大多数(61%)开始使用SCP是因为专业协会的建议。SCP使用的主要障碍是组织资源不足(75%)以及SCP使用系统。我们发现了SCP在不同地点、项目类型和专业协会成员资格方面的使用模式。大多数癌症项目已采用SCP,但使用情况仍不一致。促进SCP使用的努力应解决相关障碍,特别是在那些容易受到SCP使用障碍影响的癌症项目中。