Stricker Carrie Tompkins, O'Brien Michele
University of Pennsylvania Health System in Philadelphia.
Minnesota Oncology in Edina.
Clin J Oncol Nurs. 2014;18 Suppl:15-22. doi: 10.1188/14.CJON.S1.15-22.
The number of adult cancer survivors in the United States has exceeded 13 million and continues to rise, yet care for these survivors continues to be poorly coordinated and their needs remain inadequately addressed. As one solution to this growing problem, the Institute of Medicine in 2006 recommended the delivery of a survivorship care plan (SCP) to each patient completing active treatment. The American College of Surgeons Commission on Cancer subsequently published its Program Standard 3.3, requiring accredited programs to implement treatment summaries and SCPs by 2015, to help improve communication, quality, and coordination of care for cancer survivors. As practices and cancer centers around the country have undertaken SCP implementation efforts, myriad barriers to their preparation and delivery have emerged, with time and human resource burden top among these, in addition to a lack of proven outcomes. Fortunately, a growing number of publications document practical and feasible delivery models, and an increasingly robust body of research on stakeholder preferences is available to focus SCP implementation efforts.
美国成年癌症幸存者的数量已超过1300万，且仍在持续增加，但对这些幸存者的护理协调工作依然欠佳，他们的需求也未得到充分满足。作为解决这一日益严重问题的一项举措，医学研究所于2006年建议为每位完成积极治疗的患者提供一份癌症幸存者护理计划（SCP）。美国外科医师学会癌症委员会随后发布了其项目标准3.3，要求获得认证的项目在2015年前实施治疗总结和SCP，以帮助改善癌症幸存者护理的沟通、质量和协调。随着全国各地的医疗机构和癌症中心纷纷开展SCP实施工作，在准备和提供SCP的过程中出现了众多障碍，其中时间和人力资源负担最为突出，此外还缺乏已证实的成效。幸运的是，越来越多的出版物记录了切实可行的提供模式，并且有越来越多关于利益相关者偏好的强大研究成果可用于指导SCP的实施工作。
