Bridging the Transition to Life After Cancer Treatment

描述（由申请人提供）：在2006年医学研究所（IOM）报告“从癌症患者到癌症幸存者：迷失在翻译中”的基础上，明尼苏达州癌症联盟（www.mncanceralliance.org）和明尼苏达大学共济会癌症中心（www.cancer.umn.edu）提议为医疗保健专业人员举办一次教育会议，帮助他们的癌症患者成功地从癌症治疗过渡到治疗后的生活。美国国家癌症研究所的癌症生存研究办公室指出，“一个人被认为是癌症幸存者从诊断的时间，通过他或她的生活的平衡”。据估计，截至2006年1月，1140万美国人（占人口的3.8%）符合癌症幸存者的定义，随着早期发现和治疗癌症的进展，癌症幸存者的数量预计将增加。预计未来几年肿瘤学家的短缺加上人口老龄化，导致癌症幸存者社区的许多人考虑为越来越多的癌症幸存者提供肿瘤学家主导的护理的替代方案，包括“共享护理”，其中患者由两个或更多个医学专业管理，护士主导的生存护理模式，以及在一个环境中提供多学科护理的专业生存诊所。此外，其他医疗保健专业人员，包括护士，物理治疗师，社会工作者和营养师，开始定义他们在癌症生存护理团队中的角色。通过拟议的为期2天的会议，我们计划将肿瘤学家、初级保健和家庭医生、护士和专职医疗人员聚集在一起，了解从积极的癌症治疗过渡到癌症后生活的患者的需求，以及可用的资源满足这些需求。我们还特别有兴趣鼓励妇女、少数种族和族裔、残疾人以及来自医疗服务不足地区和人口的卫生保健专业人员团队参加会议。我们预计能够为少数民族医疗保健提供者，为少数民族提供医疗保健的人或在卫生专业人员短缺地区执业的人提供一些注册豁免。优先和注册折扣将提供给来自同一机构或社区的4名或更多专业人员（最好包括至少一名MD和一名RN）的多学科小组，以鼓励形成和实施团队方法，在会议后提供生存护理服务。将在教育和网络会议上讨论改善卫生保健专业人员之间沟通的方法，并鼓励采用团队方法，以切合实际、节省时间和资源的方式满足癌症幸存者的个人需求。 公共卫生相关性：这次针对医疗保健专业人员的教育会议将通过帮助提高癌症患者的生存质量和生存时间来直接解决NCI癌症生存办公室的使命。拟议的会议还讨论了疾病控制中心的国家癌症生存行动计划中的一项建议，即“教育医疗保健提供者从诊断到长期治疗和临终关怀的癌症生存”。

DESCRIPTION (provided by applicant): Building on the 2006 Institute of Medicine (IOM) report, "From Cancer Patient to Cancer Survivor: Lost in Translation", the Minnesota Cancer Alliance (www.mncanceralliance.org) and the Masonic Cancer Center at the University of Minnesota (www.cancer.umn.edu) are proposing an educational conference for health care professionals on helping their cancer patients successfully navigate the transition from cancer treatment to life after treatment. The National Cancer Institute's Office of Cancer Survivorship Research states that "an individual is considered a cancer survivor from the time of diagnosis, through the balance of his or her life". It has been estimated that as of January 2006, 11.4 million Americans (3.8% of the population) met the definition of a cancer survivor, and with advances in early detection and treatment cancers, the number of cancer survivors is expected to grow. The projected shortage of oncologists in the coming years combined with an aging population has led many in the cancer survivorship community to consider alternatives to oncologist-led care for the growing numbers of cancer survivors, including "shared-care" where a patient is managed by two or more medical specialties, nurse-led models of survivorship care, and specialized survivorship clinics providing multidisciplinary care in one setting. In addition, other health care professionals, including nurses, physical therapists, social workers, and dietitians, are beginning to define their role in the cancer survivorship care team. With the proposed 2-day conference, we plan to bring oncologists, primary care and family practice physicians, nurses and allied health professionals together to learn about the needs of patients transitioning from active cancer treatment to life beyond cancer, and the resources available to meet those needs. We are also especially interested in encouraging women, racial and ethnic minorities, people with disabilities, and teams of health care professionals from medically underserved areas and populations to attend the conference. We anticipate being able to offer a number of registration waivers for minority health care providers, those who provide health care to minorities, or those who practice in Health Professional Shortage Areas. Priority and registration discounts will be offered for multidisciplinary groups of 4 or more professionals (preferably including at least one MD and one RN) from the same institution or community to encourage the formation and implementation of a team approach to providing survivorship care services following the conference. Methods for improving communication between health care professionals will be discussed in educational and networking sessions, and a team approach will be encouraged in order to meet the individual needs of cancer survivors in a realistic, time- and resource-effective manner. PUBLIC HEALTH RELEVANCE: This educational conference for health care professionals will directly address the mission of NCI's Office of Cancer Survivorship by helping to enhance the quality and length of survival of people with cancer. The proposed conference also addresses one of the recommendations in the Center for Disease Control's National Action Plan for Cancer Survivorship to "educate health care providers about cancer survivorship from diagnosis through long-term treatment and end-of life care".