Applying Implementation Science to Identify Primary Care Providers' Enablers and Barriers to Using Survivorship Care Plans.

Primary care providers (PCPs) have been given the responsibility of managing the follow-up care of low-risk cancer survivors after they are discharged from the oncology center. Survivorship Care Plans (SCPs) were developed to facilitate this transition, but research indicates inconsistencies in how...

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Publicado en:Current Oncology Vol. 31; no. 6; pp. 3278 - 3291
Autores principales: Mutsaers, Brittany, Langmuir, Tori, MacDonald-Liska, Carrie, Presseau, Justin, Larocque, Gail, Harris, Cheryl, Chomienne, Marie-Hélène, Giguère, Lauriane, Garcia Mairena, Paola Michelle, Babiker, Dina, Thavorn, Kednapa, Lebel, Sophie
Formato: Journal Article
Publicado: MDPI Jun2024
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Applying Implementation Science to Identify Primary Care Providers' Enablers and Barriers to Using Survivorship Care Plans.
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          Mutsaers, Brittany
          Langmuir, Tori
          MacDonald-Liska, Carrie
          Presseau, Justin
          Larocque, Gail
          Harris, Cheryl
          Chomienne, Marie-Hélène
          Giguère, Lauriane
          Garcia Mairena, Paola Michelle
          Babiker, Dina
          Thavorn, Kednapa
          Lebel, Sophie
        affil: School of Psychology, University of Ottawa, Ottawa, ON K1N 6N5, Canada
      sug:
      ab: Primary care providers (PCPs) have been given the responsibility of managing the follow-up care of low-risk cancer survivors after they are discharged from the oncology center. Survivorship Care Plans (SCPs) were developed to facilitate this transition, but research indicates inconsistencies in how they are implemented. A detailed examination of enablers and barriers that influence their use by PCPs is needed to understand how to improve SCPs and ultimately facilitate cancer survivors' transition to primary care. An interview guide was developed based on the second version of the Theoretical Domains Framework (TDF-2). PCPs participated in semi-structured interviews. Qualitative content analysis was used to develop a codebook to code text into each of the 14 TDF-2 domains. Thematic analysis was also used to generate themes and subthemes. Thirteen PCPs completed the interview and identified the following barriers to SCP use: unfamiliarity with the side effects of cancer treatment (Knowledge), lack of clarity on the roles of different healthcare professionals (Social Professional Role and Identity), follow-up tasks being outside of scope of practice (Social Professional Role and Identity), increased workload, lack of options for psychosocial support for survivors, managing different electronic medical records systems, logistical issues with liaising with oncology (Environmental Context and Resources), and patient factors (Social Influences). PCPs value the information provided in SCPs and found the follow-up guidance provided to be most helpful. However, SCP use could be improved through streamlining methods of communication and collaboration between oncology centres and community-based primary care settings.
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