Integrating a prospective surveillance model for rehabilitation into breast cancer survivorship care
Integrating a prospective surveillance model for rehabilitation into breast cancer survivorship care
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DOI：
10.1002/cncr.27472
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发表时间：
2012-04-15
期刊：
影响因子：
6.2
通讯作者：
Stricker, Carrie T.
中科院分区：
文献类型：
--
作者：
Gerber, Lynn H.;Stout, Nicole L.;Stricker, Carrie T.
在治疗期间或治疗后的某个时间点，乳腺癌可能被认为是一种慢性疾病，为管理疾病提供了许多选择，其不良治疗相关影响，其他医学合并症以及具有危及生命的疾病的生物行为负担，即使对于可能治愈的乳腺癌患者也是如此。健康护理模式，如慢性病护理模式，医疗之家，和共享护理模式，为建立生存健康护理模式提供了背景。最近提出的癌症生存医疗保健提供共享护理模式的目标和特征与癌症杂志增刊中其他地方提出的前瞻性监测模型（PSM）的目标和概念密切一致。鉴于这些相似之处，沿着生存护理模式的增长和扩展以及即将到来的交付任务，考虑如何将PSM的实施与生存护理交付模式相结合是有价值的。PSM模式可能会面临许多类似的挑战和障碍，这些挑战和障碍阻碍了其他生存护理模式的广泛传播。有机会整合所吸取的经验教训，并调整努力，以实现更大的影响，改善乳腺癌幸存者的健康结果的共同目标。Cancer 2012;118（8 suppl）：. (c)2012年美国癌症协会
At some point during or after treatment, breast cancer may be considered a chronic illness, presenting many choices for managing the disease, its adverse treatment-related effects, other medical comorbidities as well as the biobehavioral burden of having a life-threatening disease, even for individuals with potentially curable breast cancer. Health care models, such as the chronic care model, the medical home, and the shared care model, provide a context for building survivorship health care models. Goals and characteristics of recently proposed shared care models for cancer survivorship health care delivery closely align with the goals and concepts of the prospective surveillance model (PSM) proposed elsewhere in this supplement to the journal Cancer. Given these similarities, along with the growth and expansion of survivorship care models and impending mandates for delivery, there is merit to considering how implementation of the PSM can be integrated with models of survivorship care delivery. The PSM model will likely face many similar challenges and barriers that have impeded widespread dissemination of other survivorship models of care. There exist opportunities to integrate lessons learned as well as to align efforts to achieve greater impact on the shared goal of improving health outcomes for breast cancer survivors. Cancer 2012;118(8 suppl):. (c) 2012 American Cancer Society.