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Exploring Determinants of Compassionate Cancer Care in Older Adults Using Fuzzy Cognitive Mapping
Dominique Tremblay1,2, Chiara Russo3, Catherine Terret3
1Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, QC J4K 0A8, Canada.
Improving cancer care for older adults requires addressing practical and organizational barriers. This study identifies key strategies for a compassionate, person-centered geriatric approach in oncology.
Area of Science:
- Geriatric Oncology
- Health Services Research
- Patient-Centered Care
Background:
- Older adults with cancer face significant barriers to receiving tailored care.
- Implementing evidence-based geriatric and person-centered care models in oncology remains challenging.
Purpose of the Study:
- To explore stakeholder perspectives on challenges in delivering compassionate geriatric oncology care.
- To identify actionable pathways for improving care for older adults with cancer.
Main Methods:
- Action research design involving 53 stakeholders in focus groups.
- Cognitive mapping to visualize perceived relationships in compassionate care.
- Mental Modeler software used to analyze concept centrality and relationships.
Main Results:
- A collective model highlights determinants of compassionate care across systemic, organizational, practice, and societal levels.
- Identified pathways include integrating aging and cancer policies, interdisciplinary teamwork, and combating ageism.
- Stakeholder perspectives reveal crucial factors for addressing the whole person.
Conclusions:
- Translating evidence into compassionate geriatric oncology care requires collective action.
- Addressing systemic and organizational factors is essential for improving care quality.
- Combating ageism and promoting person-centered approaches are vital for older cancer patients.
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