The use of cancer treatment summaries and care plans among Massachusetts physicians
- 14 April 2012
- journal article
- Published by Springer Science and Business Media LLC in Supportive Care in Cancer
- Vol. 20 (7), 1579-1583
- https://doi.org/10.1007/s00520-012-1458-z
Abstract
PURPOSE: Cancer survivorship presents many challenges for affected individuals and their health care providers. Reports from The Institute of Medicine document these challenges and recommend the use of survivorship treatment summaries and care plans to improve communication and coordination of care for cancer survivors. The purpose of our study was to assess current use of treatment summaries and care plans in Massachusetts and identify obstacles to greater use. METHODS: A survey was mailed to cancer specialist physicians (CSPs) and primary care physicians (PCPs) in Massachusetts. The survey asked CSPs about their preparation of treatment summaries and care plans for their cancer survivor patients and perceived barriers to the provision of these documents. PCPs were asked about receipt and utility of treatment summaries and care plans and information they would like to see in these reports. RESULTS: One hundred eight CSPs and 400 PCPs answered the survey. Fifty-six percent of CSPs reported that they, or their staff, prepared treatment summaries for their cancer survivor patients; however, only 14% reported preparing care plans. Fifty-four percent of PCPs reported ever receiving a treatment summary, but only 16% ever received a care plan. CSPs cited lack of training, reimbursement, and templates as barriers to preparing care plans. CONCLUSIONS: Interventions are needed to make treatment summaries and care plans a part of standard care for all cancer survivors. Increasing the use of treatment summaries and care plans will require specific training and reimbursement and may be facilitated by templates that capture automated dataThis publication has 18 references indexed in Scilit:
- Looking Beyond Recurrence: Comorbidities in Cancer SurvivorsClinical Journal of Oncology Nursing, 2011
- The current status of follow‐up services for childhood cancer survivors, are we meeting goals and expectations: A report from the consortium for New England childhood cancer survivorsPediatric Blood & Cancer, 2011
- Survivorship care after breast cancer: Follow‐up practices of Australian health professionals and attitudes to a survivorship care planAsia-Pacific Journal of Clinical Oncology, 2010
- What Information Do General Practitioners Need to Care for Patients with Lung Cancer? A Survey of General Practitioners PerceptionsHealth Information Management Journal, 2010
- Survivorship: Adult Cancer SurvivorsPrimary Care: Clinics in Office Practice, 2009
- Adult Cancer Survivorship: Evolution, Research, and Planning CareCA: A Cancer Journal for Clinicians, 2009
- The Potential of Survivorship Care Plans in Primary Care Follow-up of Minority Breast Cancer PatientsJournal of General Internal Medicine, 2009
- Primary Care Physicians' Views of Routine Follow-Up Care of Cancer SurvivorsJournal of Clinical Oncology, 2009
- Physical and psychological long-term and late effects of cancerCancer, 2008
- Failing to Plan Is Planning to Fail: Improving the Quality of Care With Survivorship Care PlansJournal of Clinical Oncology, 2006