Identifying Strategies for Robust Survivorship Program Implementation: A Qualitative Analysis of Cancer Programs
Open accessAbstract
PURPOSE: The Commission on Cancer seeks to promote robust survivorship programs among accredited cancer programs. In practice, cancer programs' survivorship programs range from cursory (eg, developing care plans without robust services) to robust (eg, facilitating follow-up care). To inform cancer programs' future efforts, in this study, we identified the implementation strategies that cancer programs used to achieve robust survivorship programs, distinguishing them from cursory programs. METHODS: We sampled 39 cancer programs across the United States with approaches to survivorship program implementation ranging from cursory to robust on the basis of LIVESTRONG survivorship care consensus elements. Within sampled cancer programs, we conducted in-depth semistructured interviews with a total of 42 health care professionals. We used template analysis to distinguish implementation strategies used in cancer programs with robust survivorship programs from strategies that yielded cursory survivorship programs. RESULTS: Cancer programs with robust survivorship programs established clear systems survivorship care and formal committees to improve the survivorship care processes. They sought buy-in from multiple stakeholders to leverage cancer program resources and defined clear roles with shared accountability among multidisciplinary groups. By contrast, cancer programs with cursory survivorship programs reported less consistency in survivorship care processes and lacked buy-in from key stakeholders. They had limited resources, faced persistent structural concerns, and had insufficient clarity in roles among team members. CONCLUSION: Accrediting bodies may consider incorporating the implementation strategies that robust survivorship programs have used as guidance for supporting cancer programs in operationalizing survivorship care and evaluating the use of these strategies during the accreditation and review process.
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Previous literature has demonstrated that even robust survivorship programs face challenges and implementation struggles.
“previous literature has demonstrated that even robust survivorship programs face challenges and implementation struggles.35”
From Implementing a PROACTive Care Pathway to Empower and Support Survivors of Breast Cancer (2023) · cites this paper as [35]
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Cited by
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Implementing a PROACTive Care Pathway to Empower and Support Survivors of Breast Cancer
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- Authors
- Hwang, S., Bozkurt, B., Huson, T., Asad, S., Richardson, L., Ogbansiegbe, J. A., Viera, L., Buse, C., James, T. A., Mayer, D. K., Shulman, L. N., & Birken, S. A.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Beth Israel Deaconess Medical Center (US)
- Abramson Cancer Center (US)
- Wake Forest University Health Sciences (US)
- ORCID
- Venue
- JCO Oncology Practice
- Published
- 2022-03
- Volume
- 18
- Issue
- 3
- Pages
- e304-e312
- ISSN
- 2688-1527 (ISSN-L)
- 2688-1535
- PMC
- PMC8932497
- OpenAlex
- W3203130774
- Cited by
- 2
- References
- 14
- Citations by year
- 2024: 1 · 2023: 1
- FWCI
- 0.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- JCO Oncology Practice (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Alliance for Clinical Trials in Oncology Foundation (UG1 CA189823)
- University of North Carolina at Chapel Hill
- National Cancer Institute (UG1CA233184, UG1CA189823, CA189823, UG1CA233180, UG1CA233373, CA116339, T32CA116339)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Keywords
- survivorship care, implementation strategies, Commission on Cancer, stakeholder buy-in, follow-up care, structural barriers
- MeSH terms
- Survivorship, Health Personnel, Humans, Neoplasms, Surveys and Questionnaires, United States
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