Abstract
Survivorship care plans (SCPs) have been recommended as tools to improve care coordination and outcomes for cancer survivors. SCPs are increasingly being provided to survivors and their primary care providers. However, most primary care providers remain unaware of SCPs, limiting their potential benefit. Best practices for educating primary care providers regarding SCP existence and content are needed. We developed an education program to inform primary care providers of the existence, content, and potential uses for SCPs. The education program consisted of a 15-min presentation highlighting SCP basics presented at mandatory primary care faculty meetings. An anonymous survey was electronically administered via email (n = 287 addresses) to evaluate experience with and basic knowledge of SCPs pre- and post-education. A total of 101 primary care advanced practice providers (APPs) and physicians (35% response rate) completed the baseline survey with only 23% reporting prior receipt of a SCP. Only 9% could identify the SCP location within the electronic health record (EHR). Following the education program, primary care physicians and APPs demonstrated a significant improvement in SCP knowledge, including improvement in their ability to locate one within the EHR (9 vs 59%, p < 0.0001). A brief educational program containing information about SCP existence, content, and location in the EHR increased primary care physician and APP knowledge in these areas, which are prerequisites for using SCP in clinical practice.
Similar content being viewed by others
References
Hewitt ME, Greenfield S, Stovall E (2006) From cancer patient to cancer survivor: lost in transition. National Academy Press, Washington, D.C.
McCabe MS, Bhatia S, Oeffinger KC et al (2013) American Society of Clinical Oncology statement: achieving high-quality cancer survivorship care. J Clin Oncol 31:631–640
Donohue SM, Sesto ME, Hahn DL et al (2015) Evaluating primary care providers’ views on survivorship care plans generated by an electronic health record system. J Oncol Pract 11:e329–e335
Tevaarwerk AJ, Wisinski KB, Buhr KA et al (2014) Leveraging electronic health record systems to create and provide electronic cancer survivorship care plans: a pilot study. J Oncol Pract 10:e150–e159
Seaborne LA, Hueneberg K, Bohler A, et al. Developing electronic health record (EHR)-based program to deliver survivorship care plans (SCPs) and visits at the UW Breast Center. Presented at 2016 Cancer Survivorship Symposium, San Diego CA
Watson EK, Sugden EM, Rose PW (2010) Views of primary care physicians and oncologists on cancer follow-up initiatives in primary care: an online survey. J Cancer Surviv: Res Pract 4:159–166
Smith SL, Wai ES, Alexander C (2011) Caring for survivors of breast cancer: perspective of the primary care physician. Curr Oncol 18:218–226
Mayer DK, Gerstel A, Leak AN et al (2012) Patient and provider preferences for survivorship care plans. J Oncol Pract / Am Soc Clin Oncol 8:e80–e86
Salz T, Oeffinger KC, Lewis PR et al (2012) Primary care providers’ needs and preferences for information about colorectal cancer survivorship care. J Am Board Fam Med 25:635–651
Merport A, Lemon SC, Nyambose J et al (2012) The use of cancer treatment summaries and care plans among Massachusetts physicians. Support Care Cancer 20:1579–1583
Sa B, Deal AM, Mayer DK et al (2014) Following through: the consistency of survivorship care plan use in United States cancer programs. J Cancer Educ: Off J Am Assoc Cancer Educ 29:689–697
Ezendam NPM (2014) Nicolaije KaH, Kruitwagen RFPM, et al: Survivorship care plans to inform the primary care physician: results from the ROGY care pragmatic cluster randomized controlled trial. J Cancer Surviv: Res Pract 8:595–602
Skolarus TA, Holmes-Rovner M, Northouse LL et al (2013) Primary care perspectives on prostate cancer survivorship: implications for improving quality of care. Urol Oncol 31:727–732
Klabunde CN, Han PKJ, Earle CC, et al (2013) Physician Roles in the Cancer-Related Follow-Up Care of Cancer Survivors. Fam Med 45(7):463-474
Baravelli C, Krishnasamy M, Pezaro C et al (2009) The views of bowel cancer survivors and health care professionals regarding survivorship care plans and post treatment follow up. J Cancer Surviv 3:99–108
Nicolaije KAH, Ezendam NPM, Vos MC, Pijnenborg JMA, Boll D, Boss EA, Hermans RHM, Engelhart KCM, Haartsen JE, Pijlman BM, et al (2015) 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. J Clin Oncol 33(31):3550–3559. https://doi.org/10.1200/JCO.2014.60.3399
Banerjee SC, Matasar MJ, Bylund CL et al (2015) Survivorship care planning after participation in communication skills training intervention for a consultation about lymphoma survivorship. Transl Behav Med 5:393–400
Shaw T, Yates P, Moore B, et al (2017) Development and evaluation of an online educational resource about cancer survivorship for cancer nurses: A mixed-methods sequential study. Eur J Cancer Care 26:e12576
Blanch-Hartigan D, Forsythe LP, Alfano CM et al (2014) Provision and discussion of survivorship care plans among cancer survivors: results of a nationally representative survey of oncologists and primary care physicians. J Clin Oncol 32:1578–1585
Rowland JH, Hewitt M, Ganz PA (2006) Cancer survivorship: a new challenge in delivering quality cancer care. J Clin Oncol 24:5101–5104
Yang W, Williams JH, Hogan PF et al (2014) Projected supply of and demand for oncologists and radiation oncologists through 2025: an aging, better-insured population will result in shortage. J Oncol Pract 10:39–45
Bluethmann SM, Mariotto AB, Rowland JH (2016) Anticipating the “silver tsunami”: prevalence trajectories and comorbidity burden among older cancer survivors in the United States. Cancer Epidemiol Biomark Prev 25:1029–1036
Halpern MT, Viswanathan M, Evans TS et al (2015) Models of cancer survivorship care: overview and summary of current evidence. J Oncol Pract 11:e19–e27
Colwill JM, Cultice JM, Kruse RL (2008) Will generalist physician supply meet demands of an increasing and aging population? Health Aff (Millwood) 27:w232–w241
American College of Surgeon’s Commission on Cancer. Cancer Program Standards: Ensuring Patient-Centered Care Manual, 2016 edn. https://www.facs.org/~/media/files/quality%20programs/cancer/coc/2016%20coc%20standards%20manual_interactive%20pdf.ashx. Accessed May 2017
Funding
This work was supported by the NCI Cancer Center Support Grant P30 CA014520 and Aging and Cancer Program P20 CA103697, a UW Division of General Internal Medicine grant and School of Medicine and Public Health Research Honors Program. AJT received support from the Clinical and Translational Science Award (CTSA) program, through the NIH National Center for Advancing Translational Sciences (NCATS), grants UL1TR000427and KL2TR000428.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
SMD: none
JEH: none
ZL: none
ERT: none
SAK: none
DAF: none
JMS: none
LGW: ElucentMedical
MES: none
AJT: Epic Systems, Corp (family member)
Rights and permissions
About this article
Cite this article
Donohue, S., Haine, J.E., Li, Z. et al. The Impact of a Primary Care Education Program Regarding Cancer Survivorship Care Plans: Results from an Engineering, Primary Care, and Oncology Collaborative for Survivorship Health. J Canc Educ 34, 154–160 (2019). https://doi.org/10.1007/s13187-017-1281-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13187-017-1281-9