Provider-Level Factors Influencing Implementation

Cancer treatment is increasingly complex. The tools for diagnosis, staging, and predicting prognosis are rapidly evolving, as are the therapies, treatment modalities, and treatment protocols. The complexity of care, the need for a multidisciplinary team across settings, and patient-level factors all present providers with a unique set of challenges. The three case studies presented in this chapter explore strategies that help providers by (1) ensuring low-income patients with breast cancer receive care consistent with guidelines through patient engagement and navigation, (2) promoting and incorporating the routine use of shared decision-making in determining prostate cancer treatment, and (3) supporting the adoption of concurrent palliative care for patients with advanced cancer. The specific challenges and needs for future implementation science are highlighted throughout each case.