Institutional capacity to provide psychosocial oncology support services: A report from the Association of Oncology Social Work
Open accessAbstract
BACKGROUND: This study reports cancer‐treating institutions' capacity to deliver comprehensive psychosocial support services. METHODS: Oncology care providers at 60 cancer‐treating institutions completed surveys assessing the capacity of their institutions to provide psychosocial care. Capacity was assessed with the Cancer Psychosocial Care Matrix (CPCM) from the National Cancer Institute (NCI). Scores represented individuals' perceptions of their cancer program's performance with respect to 10 fundamental elements of psychosocial care. RESULTS: Among 2134 respondents, 62% reported a mid‐level capacity for ≥5 of 10 CPCM items. In comparison with other types of cancer programs (eg, NCI‐designated, academic, or comprehensive centers), providers at community cancer programs reported a significantly greater capacity with respect to patient‐provider communication, psychosocial needs assessment, and continuity in the delivery of psychosocial care over time. Nurses and primary medical providers reported a significantly lower capacity for linking patients and families with needed psychosocial services within their respective cancer programs. They also reported a significantly higher capacity for conducting follow‐up, re‐evaluations, and adjustments of psychosocial treatment plans. CONCLUSIONS: Cancer programs are performing moderately well in terms of communicating to patients the importance of psychosocial care, identifying patient psychosocial needs, and referring patients and families to psychosocial services. They are doing less well with respect to the provision of that care over time. Findings suggest that gaps in psychosocial service capacity are a function of patient, provider, and system characteristics. These results may be useful in formulating strategies to enhance psychosocial care delivery. Cancer 2016;122:1937–45. © 2016 American Cancer Society.
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Access to in-person supportive care is often limited by clinician shortages, financial constraints, and time available to attend therapy sessions.
“Access to in-person supportive care is often limited by clinician shortages, financial constraints, and time available to attend therapy sessions [9-13].”
From Co-Designing the MOSAIC mHealth App With Breast Cancer Survivors: User-Centered Design Approach (2024) · cites this paper as [13]
The Discussion (page unavailable) says inadequate reimbursement may limit some institutions’ capacity to deliver psychosocial care, offering qualified support for the financial-constraints portion. It does not identify clinician shortages or patients’ time to attend in-person therapy as barriers, and its financial point concerns institutions rather than patients. (LLM, conf=0.82)
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- Authors
- Zebrack, B., Kayser, K., Padgett, L., Sundstrom, L., Jobin, C., Nelson, K., & Fineberg, I. C.
- Affiliations
- University of Michigan (US)
- University of Louisville (US)
- American Cancer Society (US)
- Providence Portland Medical Center (US)
- Stony Brook University (US)
- Corresponding author
- Zebrack, Brad
- Kayser, Karen
- Padgett, Lynne
- Sundstrom, Laura
- Jobin, Chad
- Nelson, Krista
- Fineberg, Iris C.
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2016-04-12
- Volume
- 122
- Issue
- 12
- Pages
- 1937-1945
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- OpenAlex
- W2336860996
- Cited by
- 54
- References
- 22
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 7 · 2021: 5 · 2020: 8 · 2019: 4 · 2018: 7 · 2017: 5 · 2016: 1
- FWCI
- 3.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Takeda Company to the Association of Oncology Social Work
- Association of Oncology Social Work
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Keywords
- psycho-oncology, oncology social work, community cancer programs, NCI-designated cancer centers, continuity of care, psychosocial needs assessment, patient-provider communication
- MeSH terms
- Female, Humans, Male, Medical Oncology, Neoplasms, Psychology, Social Support, Social Work
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