Abstract
Survivorship care plans (SCPs) may facilitate cancer survivorship care shared between oncologists and primary care, particularly for patients more likely to receive care across healthcare systems such as rural patients. However, limited research has addressed primary care clinicians’ information or workflow needs with regard to SCPs. This study’s objective was to assess primary care clinicians’ perceived usefulness with a re-engineered SCP previously developed by applying engineering approaches and informed by primary care preferences. An emailed survey of primary care clinicians assessed perceived usefulness with the re-engineered SCP. Clinicians were recruited across the USA from primary care practice-based research networks (PBRNs) with high concentrations of rural practices. Over 90% of respondents (n = 111) agreed that (1) the re-engineered SCP was useful (n = 95) and (2) they would want to receive a similar SCP (n = 93). The majority demonstrated high agreement regarding the SCP’s relevance, understandability, content, and ability to help provide better survivorship care. Perceived usefulness was consistent between rural and non-rural clinicians. Suggested improvements involved decreased length, addition of a bulleted list, and electronic health record integration. Results indicate that the majority of primary care clinicians perceive the re-engineered SCP as useful. However, primary care clinicians indicated continued barriers despite end-user specific alterations. Future research should investigate additional strategies to support primary care survivorship-related workload, provide essential SCP content, and improve survivorship care delivery.
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Acknowledgements
The authors would like to thank the following: participating providers, primary care practice-based research network listserv members from the Wisconsin Research and Education Network (WREN), Oregon Rural Practice-based Research Network (ORPRN), and High Plains Research Network (HPRN), University of Wisconsin Cancer Carbone Center’s Cancer Prevention and Outcomes Data (C-POD).
Funding
This work was supported by the NCI Cancer Center Support Grant P30 CA014520 and by grant UL1TR000427 to UW ICTR from NIH/NCATS. AJT received support from the Clinical and Translational Science Award (CTSA) program through the NIH National Center for Advancing Translational Sciences (NCATS) and grants UL1TR000427 and KL2TR000428, while TPS received funding via The Ride fundraiser through the Dept. of Human Oncology.
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Tevaarwerk, Amye J reports an Epic Systems family member. The rest of the authors declare that they have no conflict of interest.
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Electronic Supplementary Material
Supplemental Material 1
Survey Questionnaire (PDF 236 kb)
Supplemental Material 2
Survey Free Response Text (PDF 121 kb)
Supplemental Material 3
Sample re-engineered SCP (PDF 338 kb)
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Stewart, T.P., Sesto, M.E., Haine, J.E. et al. Results of Engineering, Primary Care, Oncology Collaborative Regarding a Survey of Primary Care on a Re-Engineered Survivorship Care Plan. J Canc Educ 37, 23–29 (2022). https://doi.org/10.1007/s13187-020-01776-4
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DOI: https://doi.org/10.1007/s13187-020-01776-4