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Understanding the Delivery of Patient-Centered Survivorship Care Planning: An Exploratory Interview Study With
Jessica D Austin1,2, Marlyn Allicock3,4,5, Maria E Fernandez3,5
1Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Introduction:
Understanding key elements of the survivorship care planning process, such as patient-centered communication (PCC) and health self-efficacy, are critical for delivering patient-centered survivorship care to cancer survivors with multiple chronic conditions ("complex cancer survivors"). Building upon our team's recent research efforts to examine the survivorship care planning process from a patient-centered lens, this exploratory study leveraged an ongoing quasi-experimental trial to elucidate the experience of complex cancer survivors with survivorship care planning and post-treatment management.
Methods:
We conducted a hypothesis-generating thematic content analysis on 8 interview transcripts.
Results:
Survivors reported positive experiences communicating with their oncology care team but the presence of multiple chronic conditions in addition to cancer creates additional barriers to patient-centered survivorship care.
Conclusion:
These findings support the need for further in-depth research aimed at improving PCC across all care teams and enabling self-management by delivering more personalized survivorship care planning that aligns with survivor's needs, values, and preferences.
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