Cancer Survivorship Care in Colombia: Review and Implications for Health Policy

2021 ◽  
pp. 154041532110015
Author(s):  
Oscar Yesid Franco-Rocha ◽  
Gloria Mabel Carillo-Gonzalez ◽  
Alexandra Garcia ◽  
Ashley Henneghan
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Cancer Survivors ◽  
Cancer Survivorship ◽  
Policy Development ◽  
Care Delivery ◽  
Developed Countries ◽  
The United States ◽  
Survivorship Care ◽  
Cancer Symptoms

Introduction: The number of cancer survivors is increasing in Colombia, and health policy changes are necessary to meet their unmet needs and improve their health outcomes. Similar trends have been identified in developed countries, and positive changes have been made. Methods: We conducted a narrative review to provide an overview of Colombia’s social structure, health care system, and health care delivery in relation to cancer, with recommendations for improving cancer survivorship in Colombia based on the model of survivorship care in the United States. Results: We proposed general recommendations for improving cancer survivors’ care including (1) recognizing cancer survivorship as a distinct phase of cancer, (2) strengthening methods and metrics for tracking cancer survivorship, (3) assessing and monitoring cancer symptoms and quality of life of cancer survivors, (4) publishing evidence-based guidelines considering the social, economic, and cultural characteristics of Colombian population and cancer survivors’ specific needs. Conclusion: These recommendations could be used to inform and prioritize health policy development in Colombia related to cancer survivorship outcomes.

Implementing Quality Colon Cancer Survivorship Care: A Practical Proposal for a Path Forward

2020 ◽  
pp. OP.20.00290
Author(s):  
Ronald M. Kline ◽  
Larissa K. F. Temple ◽  
Larissa Nekhlyudov
Keyword(s):  
Health Care ◽  
Colon Cancer ◽  
Health Care System ◽  
Cancer Survivorship ◽  
Care Delivery ◽  
Quality Measurement ◽  
The United States ◽  
Survivorship Care ◽  
Practical Proposal ◽  
Care System

There are currently close to 17 million survivors of cancer in the United States. This number is expected to grow as both an aging population and improved treatment increase the number of survivors. Consequently, the importance of quality survivorship care has been recognized, but implementing, measuring, and paying for this care in a highly fragmented health care system, across a broad spectrum of diseases, is difficult. Quality measurement tied to payment is one approach that has commonly been used to improve the quality of care in the US health care system, but the complexity of applying quality measurement metrics across the spectrum of cancer survivorship care had led to stalemate. In this article, we draw on prior work to develop a quality cancer survivorship framework and propose a practical path forward with a focus on the provision of colon cancer survivorship care within integrated health care delivery networks. With this narrowly defined approach, we hope that we can promote a practical solution that can be extended to other diseases and payment systems over time.

Models of Cancer Survivorship Health Care: Moving Forward

2014 ◽  
pp. 205-213 ◽  
Author(s):  
Kevin C. Oeffinger ◽  
Keith E. Argenbright ◽  
Gill A. Levitt ◽  
Mary S. McCabe ◽  
Paula R. Anderson ◽  
...  
Keyword(s):  
Health Care ◽  
Cancer Survivors ◽  
Cancer Survivorship ◽  
Quality Care ◽  
Community Setting ◽  
The United States ◽  
Health Conditions ◽  
Cancer Center ◽  
Survivorship Care ◽  
Indirect Consequence

The population of cancer survivors in the United States and worldwide is rapidly increasing. Many survivors will develop health conditions as a direct or indirect consequence of their cancer therapy. Thus, models to deliver high-quality care for cancer survivors are evolving. We provide examples of three different models of survivorship care from a cancer center, a community setting, and a country-wide health care system, followed by a description of the ASCO Cancer Survivorship Compendium, a tool to help providers understand the various models of survivorship care available and integrate survivorship care into their practices in a way that fits their unique needs.

scholarly journals “Breaking the Silence” to Improve Cancer Survivorship Care for First Nations Peoples

2018 ◽  
Vol 17 (1) ◽  
pp. 160940691877413
Author(s):  
Wendy Gifford ◽  
Roanne Thomas ◽  
Gwen Barton ◽  
Viviane Grandpierre ◽  
Ian D. Graham
Keyword(s):  
Health Care ◽  
First Nations ◽  
Cancer Survivorship ◽  
Health Care Providers ◽  
Large Scale ◽  
Care Delivery ◽  
Survivorship Care ◽  
Care Providers ◽  
Community Based ◽  
Knowledge To Action

There is a significant knowledge-to-action gap in cancer survivorship care for First Nations (FN) communities. To date, many approaches to survivorship have not been culturally responsive or community-based. This study is using an Indigenous knowledge translation (KT) approach to mobilize community-based knowledge about cancer survivorship into health-care programs. Our team includes health-care providers and cancer survivors from an FN community in Canada and an urban hospital that delivers Cancer Care Ontario’s Aboriginal Cancer Program. Together, we will study the knowledge-to-action process to inform future KT research with Indigenous peoples for improving health-care delivery and outcomes. The study will be conducted in settings where research relations and partnerships have been established through our parent study, The National Picture Project. The inclusion of community liaisons and the continued engagement of participants from our parent study will foster inclusiveness and far-reaching messaging. Knowledge about unique cancer survivorship needs co-created with FN people in the parent study will be mobilized to improve cancer follow-up care and to enhance quality of life. Findings will be used to plan a large-scale implementation study across Canada.

scholarly journals Providing Care for Cancer Survivors in Integrated Health Care Delivery Systems: Practices, Challenges, and Research Opportunities

2012 ◽  
Vol 8 (3) ◽  
pp. 184-189 ◽  
Author(s):  
Jessica Chubak ◽  
Leah Tuzzio ◽  
Clarissa Hsu ◽  
Catherine M. Alfano ◽  
Borsika A. Rabin ◽  
...  
Keyword(s):  
Health Care ◽  
Cancer Survivors ◽  
Health Care Delivery ◽  
Exploratory Study ◽  
Care Delivery ◽  
Delivery Systems ◽  
Integrated Health Care ◽  
Survivorship Care ◽  
Integrated Health ◽  
Health Care Delivery Systems

Exploratory study suggests an awareness of cancer survivorship care in integrated health care delivery systems, although approaches to providing such care vary across systems.

Growing a cancer survivorship care plan program.

2017 ◽  
Vol 35 (5_suppl) ◽  
pp. 58-58
Author(s):  
Claire Michelle Sutherby (Bennett)
Keyword(s):  
Cancer Survivors ◽  
Cancer Survivorship ◽  
The United States ◽  
Primary Treatment ◽  
Care Plan ◽  
Survivorship Care Plan ◽  
Close Monitoring ◽  
Survivorship Care ◽  
Oncology Nurse ◽  
Nurse Navigator

58 Background: More than 15.5 million cancer survivors live in the United States. This number is expected to be over 20 million by 2026. Cancer survivors have increased risk of morbidity; therefore, preventive and on-going medical treatment requires close monitoring and coordination. The Institute of Medicine’s (IOM) 2005 report, Cancer Patient to Cancer Survivor: Lost in Transition, recommended health providers raise awareness of cancer survivors’ needs and establish cancer survivorship as a distinct phase of care. The IOM also recommended patients who complete primary treatment are provided a comprehensive summary and plan that is effectively explained. A survivorship care plan maps out and improves care related to accessibility of past diagnosis and treatment history, surveillance guidelines, and potential long term side effects. In 2012, the Commission on Cancer (CoC) added Standard 3.3 Survivorship Care Planto the program standards. This met the IOM’s objective of addressing potential patients that get “lost” as they transition from care they received during treatment through phases of their life or disease. Methods: The Cancer Committee within a CoC certified organization developed multiple strategies to address the IOM and CoC standards. Strategies included a process to disseminate a comprehensive care summary for cancer patients who are completing primary treatment, adoption of the American Society of Clinical Oncology’s Treatment Summary and Survivorship Care Plan template, and adding a survivorship nurse navigator to the interprofessional treatment team. The survivorship nurse navigator monitors and reviews survivorship care plans with patients, advises when to seek treatment for symptoms, discusses surveillance guidelines, navigates patients through therapies, and educates on prevention and screening. Results: Evaluation for quality of life and compliance with individualized surveillance guidelines is ongoing. Conclusions: The oncology nurse navigator role is uniquely positioned to lead care coordination and improve outcomes through the continuum of care. Providing patients with a summary of their treatment and a plan moving forward may decrease stress related to the transition from active treatment to survivorship.

scholarly journals Cancer Care and Cancer Survivorship Care in the United States: Will We Be Able to Care for These Patients in the Future?

2009 ◽  
Vol 5 (3) ◽  
pp. 119-123 ◽  
Author(s):  
Lawrence N. Shulman ◽  
Linda A. Jacobs ◽  
Sheldon Greenfield ◽  
Barbara Jones ◽  
Mary S. McCabe ◽  
...  
Keyword(s):  
United States ◽  
Primary Care ◽  
Health Care ◽  
Cancer Survivors ◽  
Cancer Care ◽  
Primary Care Physicians ◽  
The United States ◽  
Survivorship Care ◽  
Patients With Cancer ◽  
Number Of Patients

The combination of a shortfall in oncologists and primary care physicians and an increased number of patients using more health care resources raises concerns about our health care system's ability to accommodate future patients with cancer and cancer survivors.

scholarly journals Developing a Quality of Cancer Survivorship Care Framework: Implications for Clinical Care, Research, and Policy

2019 ◽  
Vol 111 (11) ◽  
pp. 1120-1130 ◽  
Author(s):  
Larissa Nekhlyudov ◽  
Michelle A Mollica ◽  
Paul B Jacobsen ◽  
Deborah K Mayer ◽  
Lawrence N Shulman ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Cancer Survivorship ◽  
Clinical Care ◽  
The United States ◽  
Care Quality ◽  
Clinical Settings ◽  
Institute Of Medicine ◽  
Survivorship Care ◽  
Quality Framework ◽  
Research And Policy

Abstract There are now close to 17 million cancer survivors in the United States, and this number is expected to continue to grow. One decade ago the Institute of Medicine report, From Cancer Patient to Cancer Survivor: Lost in Transition, outlined 10 recommendations aiming to provide coordinated, comprehensive care for cancer survivors. Although there has been noteworthy progress made since the release of the report, gaps remain in research, clinical practice, and policy. Specifically, the recommendation calling for the development of quality measures in cancer survivorship care has yet to be fulfilled. In this commentary, we describe the development of a comprehensive, evidence-based cancer survivorship care quality framework and propose the next steps to systematically apply it in clinical settings, research, and policy.

scholarly journals Evidence Gaps in Cancer Survivorship Care: A Report from the 2019 National Cancer Institute Cancer Survivorship Workshop

2021 ◽  
Author(s):  
Lisa Gallicchio ◽  
Emily Tonorezos ◽  
Janet S de Moor ◽  
Joanne Elena ◽  
Margaret Farrell ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Cancer Survivorship ◽  
National Cancer Institute ◽  
Quality Care ◽  
Research Priorities ◽  
The United States ◽  
Institute Of Medicine ◽  
Survivorship Care ◽  
Psychosocial Effects

Abstract Today, there are more than 16.9 million cancer survivors in the United States; this number is projected to grow to 22.2 million by 2030. While much progress has been made in understanding cancer survivors needs and in improving survivorship care since the seminal 2006 Institute of Medicine report From Cancer Patient to Cancer Survivor: Lost in Transition, there is a need to identify evidence gaps and research priorities pertaining to cancer survivorship. Thus, in April 2019, the National Cancer Institute convened grant-funded extramural cancer survivorship researchers, representatives of professional organizations, cancer survivors, and advocates for a one-day in-person meeting. At this meeting, and in a subsequent webinar aimed at soliciting input from the wider survivorship community, evidence gaps and ideas for next steps in the following six areas, identified from the 2006 Institute of Medicine report, were discussed: surveillance for recurrence and new cancers, management of long-term and late physical effects, management of long-term and late psychosocial effects, health promotion, care coordination, and financial hardship. Identified evidence gaps and next steps across the areas included the need to understand and address disparities among cancer survivors, to conduct longitudinal studies as well as longer-term (>5 years post-diagnosis) follow-up studies, to leverage existing data, and to incorporate implementation science strategies to translate findings into practice. Designing studies to address these broad evidence gaps, as well as those identified in each area, will expand our understanding of cancer survivors’ diverse needs, ultimately leading to the development and delivery of more comprehensive evidence-based quality care.

scholarly journals Disparities and Barriers to Pediatric Cancer Survivorship Care

2021 ◽  
Author(s):  
Erin M. Mobley ◽  
Diana J. Moke ◽  
Joel Milam ◽  
Carol Y. Ochoa ◽  
Julia Stal ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Childhood Cancer ◽  
Cancer Survivorship ◽  
Pediatric Cancer ◽  
Barriers To Care ◽  
Grey Literature ◽  
Childhood Cancer Survivors ◽  
The United States ◽  
Survivorship Care ◽  
Key Informants

Objectives. Survival rates for pediatric cancer have dramatically increased since the 1970s, and the population of childhood cancer survivors (CCS) exceeds 500,000 in the United States. Cancer during childhood and related treatments lead to long-term health problems, many of which are poorly understood. These problems can be amplified by suboptimal survivorship care. This report provides an overview of the existing evidence and forthcoming research relevant to disparities and barriers for pediatric cancer survivorship care, outlines pending questions, and offers guidance for future research. Data sources. This Technical Brief reviews published peer-reviewed literature, grey literature, and Key Informant interviews to answer five Guiding Questions regarding disparities in the care of pediatric survivors, barriers to cancer survivorship care, proposed strategies, evaluated interventions, and future directions. Review methods. We searched research databases, research registries, and published reviews for ongoing and published studies in CCS to October 2020. We used the authors’ definition of CCS; where not specified, CCS included those diagnosed with any cancer prior to age 21. The grey literature search included relevant professional and nonprofit organizational websites and guideline clearinghouses. Key Informants provided content expertise regarding published and ongoing research, and recommended approaches to fill identified gaps. Results. In total, 110 studies met inclusion criteria. We identified 26 studies that assessed disparities in survivorship care for CCS. Key Informants discussed subgroups of CCS by race or ethnicity, sex, socioeconomic status, and insurance coverage that may experience disparities in survivorship care, and these were supported in the published literature. Key Informants indicated that major barriers to care are providers (e.g., insufficient knowledge), the health system (e.g., availability of services), and payers (e.g., network adequacy); we identified 47 studies that assessed a large range of barriers to survivorship care. Sixteen organizations have outlined strategies to address pediatric survivorship care. Our searches identified only 27 published studies that evaluated interventions to alleviate disparities and reduce barriers to care. These predominantly assessed approaches that targeted patients. We found only eight ongoing studies that evaluated strategies to address disparities and barriers. Conclusions. While research has addressed disparities and barriers to survivorship care for childhood cancer survivors, evidence-based interventions to address these disparities and barriers to care are sparse. Additional research is also needed to examine less frequently studied disparities and barriers and to evaluate ameliorative strategies in order to improve the survivorship care for CCS.

scholarly journals IMPLEMENTASI KEBIJAKAN BERAS MISKIN (RASKIN) DI KECAMANTAN TANJUNGANOM KABUPATEN NGANJUK (Studi Deskriptif Pada Kelurahan Sumberkepuh)

2017 ◽  
Vol 2 (1) ◽  
pp. 121-136
Author(s):  
Yenik Pujowati
Keyword(s):  
Health Care ◽  
Public Service ◽  
Policy Development ◽  
Developed Countries ◽  
The United States ◽  
Community Members ◽  
The Family ◽  
History Of ◽  
Service Policy ◽  
The Developed Countries

AbstrakKemiskinan tentunya bukanlah masalah sosial yang hanya dialami oleh negaranegaraberkembang seperti Indonesia, namun dialami juga oleh negara-negara maju sepertiamerika. Di Indonesia kemiskinan terus menjadi masalah sosial yang fenomenal sepanjangsejarah Indonesia. Kemiskinan telah membuat jutaan anak-anak indonesia tidak bisamengenyam pendidikan yang berkualitas, kesulitan membiayai kesehatan, kurangnyatabungan dan tidak adanya investasi untuk masa depan, kurangnya akses ke pelayananpublik, kurangnya lapangan pekerjaan, kurangnya jaminan sosial dan perlindunganterhadap keluarga, menguatnya arus urbanisasi kekota, dan yang lebih parah,kemiskinan menyebabkan jutaan rakyat memenuhi kebutuhan pangan, sandang dan papansecara terbatas. Ada dua kondisi yang menyebabkan kemiskinan bisa terjadi, yaknikemiskinan alamiah dan karena buatan. Kemiskinan alamiah terjadi antara lain akibatsumber daya alam yang terbatas, penggunaan teknologi yang rendah dan bencana alam.Kemiskinan "buatan" terjadi karena lembaga-lembaga yang ada di masyarakat membuatsebagian anggota masyarakat tidak mampu menguasai sarana ekonomi dan berbagaifasilitas lain yang tersedia, hingga mereka tetap miskin. Maka itulah sebabnya para pakarekonomi sering mengkritik kebijakan pembangunan yang sering terfokus pada pertumbuhanketimbang pemerataan.Kata Kunci: Kemiskinan, Pelayanan Publik, Kebijakan PembangunanAbstractPoverty is certainly not the only social problems experienced by developing countries such asIndonesia, but experienced by the developed countries like the United States. In Indonesia,poverty continues to be a social problem that is phenomenal in the history of Indonesia.Poverty has made millions of children Indonesia can not get an education of quality,difficulty to finance health care, lack of savings and investments for the future, lack of accessto public services, lack of jobs, lack of social security and protection of the family, thestrengthening of urbanization kekota, and worse, poverty causes millions of people to meetthe needs of food, clothing and shelter are limited. There are two conditions that causepoverty can happen, namely poverty because of natural and artificial. Poverty naturallyoccur partly as a result of limited natural resources, the use of low technology and naturaldisasters. Poverty "artificial" occurred because the institutions that exist in the community tomake some community members are not able to master the economic means and variousother facilities available, so they remain poor. So that is why economists are often criticizeddevelopment policies are often focused on growth rather than equity.Keywords: Poverty, Public Service, Policy Development

Sign in / Sign up

Export Citation Format

Share Document