Personalized Risk-Stratified Cancer Follow-Up Care: Its Potential for Healthier Survivors, Happier Clinicians, and Lower Costs

被引:84
作者
Mayer, Deborah K. [1 ,2 ]
Alfano, Catherine M. [3 ]
机构
[1] NCI, Div Canc Control & Populat Sci, NIH, Bethesda, MD 20892 USA
[2] Univ N Carolina, UNC Lineberger Comprehens Canc Ctr, Sch Nursing, Chapel Hill, NC 27515 USA
[3] Amer Canc Soc Inc, Atlanta, GA USA
来源
JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE | 2019年 / 111卷 / 05期
关键词
UNITED-STATES; AMERICAN-SOCIETY; ONCOLOGISTS; PREVALENCE; CHALLENGES; BURDEN; NEEDS;
D O I
10.1093/jnci/djy232
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The growth in the number of cancer survivors in the face of projected health-care workforce shortages will challenge the US health-care system in delivering follow-up care. New methods of delivering follow-up care are needed that address the ongoing needs of survivors without overwhelming already overflowing oncology clinics or shuttling all follow-up patients to primary care providers. One potential solution, proposed for over a decade, lies in adopting a personalized approach to care in which survivors are triaged or risk-stratified to distinct care pathways based on the complexity of their needs and the types of providers their care requires. Although other approaches may emerge, we advocate for development, testing, and implementation of a risk-stratified approach as a means to address this problem. This commentary reviews what is needed to shift to a risk-stratified approach in delivering survivorship care in the United States.
引用
收藏
页码:442 / 448
页数:7
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