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Cited by 96Cancer survivorship and careHealth Policy Implementation SciencePatient-Provider Communication in Healthcare

Screening for psychosocial distress among patients with cancer: implications for clinical practice, healthcare policy, and dissemination to enhance cancer survivorship

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Ehlers, Shawna L, Davis, Kimberly, Bluethmann, Shirley M, Quintiliani, Lisa M, Kendall, Jeffrey, Ratwani, Raj M, Diefenbach, Michael A, Graves, Kristi D·2019·Translational Behavioral Medicine
DOI 10.1093/tbm/iby123PMC PMC6610173
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Abstract

Accreditation standards are at the forefront of evolving healthcare systems, setting metrics for high-quality care. Healthcare outcomes (health, experience, cost, provider satisfaction/burn out) are becoming mutual goals of the patient, provider, payer, and healthcare system. Achieving high-quality outcomes in cancer care necessitates collaboration among interdisciplinary teams of clinical providers, administrators, patient advocates, caregivers, and researchers. Dissemination and implementation science provides necessary frameworks to organize the efforts of these implementation teams, inclusive of identifying facilitators and barriers to implementation of accreditation standards. Since 2015, cancer distress screening has been mandated for continued cancer center accreditation by the American College of Surgeon's Commission on Cancer. Cancer centers have thus become real world implementation laboratories. We present the current context of distress screening, highlighting prior research and key areas of future research. We consider multiple levels of cancer care delivery and the use of interdisciplinary teams to help cancer center teams adopt, implement, and maintain efficient distress screening programs. Finally, we present a case study to identify methods for successful implementation of distress screening at one cancer center and then describe efficiencies that can be introduced using elements from human factors engineering, e- and m-health screening platforms, and community partnerships.

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  • High caregiver distress is associated with poorer quality of care, greater unplanned health care use, and higher caregiver symptom burden.

    “High caregiver distress is associated with poorer quality of care, 16 greater unplanned health care use, 114 , 115 and higher caregiver symptom burden. 116”

    From Nonpharmacologic interventions for managing distress, anxiety, and depression for patients with cancer and their family caregivers: A systematic review and meta‐analysis (2026) · cites this paper as [16]

    Citation 16 is attached to the poorer-quality-of-care clause; the later clauses have separate citations. The Introduction (page unavailable) says caregivers can experience distress and that identifying and addressing distress can help improve quality of care. It does not establish an association between high caregiver distress and poorer quality of care. (LLM, conf=0.76)

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References 74 · Cited by 96

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Authors
Ehlers, S. L., Davis, K., Bluethmann, S. M., Quintiliani, L. M., Kendall, J., Ratwani, R. M., Diefenbach, M. A., & Graves, K. D.
Affiliations
  • Mayo Clinic (US)
  • Georgetown University (US)
  • Pennsylvania State University (US)
  • Boston University (US)
  • University of Minnesota (US)
  • MedStar Health (US)
  • Feinstein Institute for Medical Research (US)
Corresponding author
Graves, Kristi D
ORCID
Venue
Translational Behavioral Medicine
Publisher
Oxford University Press (OUP)
Published
2018-12-19
Volume
9
Issue
2
Pages
282-291
ISSN
  • 1613-9860 (ISSN-L)
  • 1869-6716
DOI
10.1093/tbm/iby123
PMC
PMC6610173
OpenAlex
W2904382367
Cited by
96
References
74
Citations by year
2026: 11 · 2025: 12 · 2024: 9 · 2023: 11 · 2022: 17 · 2021: 14 · 2020: 16 · 2019: 5 · 2018: 1
FWCI
3.38
Type
journal article
Language
en
Open access
Licence
academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
Locations
  • Translational Behavioral Medicine (publishedVersion, public-domain)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Cancer Institute (P30CA051008)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Keywords
psychosocial distress screening, cancer patients, cancer survivorship, Commission on Cancer, dissemination and implementation research, interdisciplinary teams, human factors engineering, e-health, community partnerships, implementation barriers and facilitators
MeSH terms
Cancer Survivors, Survivorship, Health Policy, Humans, Mental Health Services, Neoplasms, Stress, Psychological

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