Patient‐centered support in the survivorship care transition: Outcomes from the Patient‐Owned Survivorship Care Plan Intervention

To the authors' knowledge, few studies to date have evaluated the effects of survivorship care planning on the care transition process from specialty cancer care to self‐management and primary care, patient experience, or health outcomes. The Patient‐owned Survivorship Transition Care for Activated, Empowered survivors (POSTCARE) is a single coaching encounter based on the Chronic Care Model that uses motivational interviewing techniques to engage survivors of breast cancer. The current study examined the effects of the POSTCARE intervention on patient outcomes and care coordination.

[1]  W. Demark-Wahnefried,et al.  Treatment Summaries and Follow-Up Care Instructions for Cancer Survivors: Improving Survivor Self-Efficacy and Health Care Utilization , 2015, The oncologist.

[2]  E. Coleman,et al.  Patients’ and Family Caregivers’ Goals for Care During Transitions Out of the Hospital , 2015, Home health care services quarterly.

[3]  E. Coleman,et al.  Cross-Continuum Collaboration in Health Care: Unleashing the Potential. , 2015, Population health management.

[4]  M. C. Vos,et al.  Impact of an Automatically Generated Cancer Survivorship Care Plan on Patient-Reported Outcomes in Routine Clinical Practice: Longitudinal Outcomes of a Pragmatic, Cluster Randomized Trial. , 2015, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[5]  Ronald C. Chen,et al.  Avoiding Implementation Errors in Cancer Survivorship Care Plan Effectiveness Studies. , 2015, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[6]  C. Ritchie,et al.  Formative research in the development of a care transition intervention in breast cancer survivors. , 2015, European journal of oncology nursing : the official journal of European Oncology Nursing Society.

[7]  L. Monterosso,et al.  Survivorship Care Plans and Treatment Summaries in Adult Patients With Hematologic Cancer: An Integrative Literature Review. , 2015, Oncology nursing forum.

[8]  G. Pond,et al.  A survivorship care plan for breast cancer survivors: extended results of a randomized clinical trial , 2015, Journal of Cancer Survivorship.

[9]  S. Birken,et al.  Summing it up: An integrative review of studies of cancer survivorship care plans (2006‐2013) , 2015, Cancer.

[10]  E. Coleman,et al.  Family Caregivers' Experiences During Transitions Out of Hospital , 2015, Journal for healthcare quality : official publication of the National Association for Healthcare Quality.

[11]  P. Butow,et al.  Survivorship care plans in cancer: a systematic review of care plan outcomes , 2014, British Journal of Cancer.

[12]  A. Partridge,et al.  Desired elements and timing of cancer survivorship care: one approach may not fit all. , 2014, Journal of oncology practice.

[13]  M. C. Vos,et al.  Survivorship Care Plans to inform the primary care physician: results from the ROGY care pragmatic cluster randomized controlled trial , 2014, Journal of Cancer Survivorship.

[14]  P. Ganz,et al.  Provision and discussion of survivorship care plans among cancer survivors: results of a nationally representative survey of oncologists and primary care physicians. , 2014, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[15]  B. Geller,et al.  Barriers and facilitators to implementing cancer survivorship care plans. , 2013, Oncology nursing forum.

[16]  D. Haggstrom,et al.  Use of survivorship care plans in the United States: associations with survivorship care. , 2013, Journal of the National Cancer Institute.

[17]  E. Coleman,et al.  Disseminating evidence-based care into practice. , 2013, Population health management.

[18]  J. Rowland,et al.  Can't see the forest for the care plan: a call to revisit the context of care planning. , 2013, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[19]  B. Andersen,et al.  Do survivorship care plans impact patients' evaluations of care? A randomized evaluation with gynecologic oncology patients. , 2013, Gynecologic oncology.

[20]  A. Neugut,et al.  Randomized controlled trial of a clinic-based survivorship intervention following adjuvant therapy in breast cancer survivors , 2013, Breast Cancer Research and Treatment.

[21]  B. Weiner,et al.  Survivorship Care Plans: Prevalence and Barriers to Use , 2013, Journal of Cancer Education.

[22]  E. Winer,et al.  Breast cancer survivors' perceptions of survivorship care options. , 2012, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[23]  G. Pond,et al.  Evaluating survivorship care plans: results of a randomized, clinical trial of patients with breast cancer. , 2011, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[24]  M. C. Vos,et al.  The impact of a cancer Survivorship Care Plan on gynecological cancer patient and health care provider reported outcomes (ROGY Care): study protocol for a pragmatic cluster randomized controlled trial , 2011, Trials.

[25]  Elizabeth H Bradley,et al.  Self-management and transitions in women with advanced breast cancer. , 2011, Journal of pain and symptom management.

[26]  Katrina Armstrong,et al.  Delivery of survivorship care by primary care physicians: the perspective of breast cancer patients. , 2009, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[27]  C. Shapiro,et al.  The LIVESTRONG Survivorship Center of Excellence Network , 2009, Journal of cancer survivorship : research and practice.

[28]  Ying Zhang,et al.  Transition from treatment to survivorship: effects of a psychoeducational intervention on quality of life in breast cancer survivors. , 2007, Oncology nursing forum.

[29]  C. Earle Failing to plan is planning to fail: improving the quality of care with survivorship care plans. , 2006, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[30]  Sung-joon Min,et al.  The care transitions intervention: results of a randomized controlled trial. , 2006, Archives of internal medicine.

[31]  J. Perlmutter,et al.  From Cancer Patient to Cancer Survivor: Lost in Translation , 2006 .

[32]  Thomas J. Smith,et al.  Randomized trial of long-term follow-up for early-stage breast cancer: a comparison of family physician versus specialist care. , 2006, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[33]  A. Kramer,et al.  Preparing Patients and Caregivers to Participate in Care Delivered Across Settings: The Care Transitions Intervention , 2004, Journal of the American Geriatrics Society.

[34]  E. Coleman Falling Through the Cracks: Challenges and Opportunities for Improving Transitional Care for Persons with Continuous Complex Care Needs , 2003, Journal of the American Geriatrics Society.

[35]  E H Wagner,et al.  Chronic disease management: what will it take to improve care for chronic illness? , 1998, Effective clinical practice : ECP.

[36]  Elizabeth Ercolano,et al.  Self‐management: Enabling and empowering patients living with cancer as a chronic illness , 2011, CA: a cancer journal for clinicians.

[37]  Brian T. Austin,et al.  Evidence on the Chronic Care Model in the new millennium. , 2009, Health affairs.

[38]  R. Yancik,et al.  Cancer survivors in the United States: age, health, and disability. , 2003, The journals of gerontology. Series A, Biological sciences and medical sciences.