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Occupational therapy practice in oncology care: Results from a survey

Leah I Stein Duker1, Alix G Sleight2

  • 1Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA.

Nursing & Health Sciences
|October 23, 2018
PubMed

Insights

Occupational therapy (OT) in oncology primarily focuses on physical issues. Therapists also provide psychosocial support and education but often cannot bill directly for these crucial cancer care services.

Area of Science:

  • Oncology
  • Occupational Therapy
  • Healthcare Reimbursement

Background:

  • The scope of occupational therapy (OT) in oncology care is not well understood.
  • Targeted improvements in cancer care are hindered by this knowledge gap.

Purpose of the Study:

  • To identify common occupational therapy interventions provided and reimbursed in oncology settings.
  • To understand the barriers to comprehensive OT service delivery in cancer care.

Main Methods:

  • An online survey was distributed to occupational therapists working in oncology.
  • Snowball sampling was used, collecting 167 responses from 21 US states.

Main Results:

  • Over 90% of therapists focused on physical impairments, fatigue, and daily living activities.
  • Interventions for psychosocial support, quality of life, and cognitive function were not directly billed.
  • Therapists reported a desire to address quality of life, emotional well-being, and home safety if barriers were removed.

Conclusions:

  • Occupational therapy in the US predominantly offers physical interventions for cancer patients.
  • Psychosocial and educational services are frequently provided but not directly reimbursed.
  • Reimbursement policies need modification to include direct billing for mental/psychosocial and educational interventions in oncology OT.
Keywords:
USAcanceroccupational therapyprofessional rolerehabilitation

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