Parry C et al. Cancer survivors: a booming population. Cancer Epidemiol Biomarkers Prev. 2011;20(10):1996–2005.
Siegel, R., et al. Cancer treatment and survivorship statistics, 2012. CA Cancer J Clin. 2012.
de Moor JS et al. Cancer survivors in the United States: prevalence across the survivorship trajectory and implications for care. Cancer Epidemiol Biomark Prev. 2013;22(4):561–70.
Hewitt ME, Ganz PA. From cancer patient to cancer survivor: lost in transition: an American Society of Clinical Oncology and Institute of Medicine Symposium. Washington: National Academies Press; 2006.
Grunfeld E et al. Routine follow up of breast cancer in primary care: randomised trial. BMJ. 1996;313(7058):665–9.
Grunfeld E. Looking beyond survival: how are we looking at survivorship? J Clin Oncol Off J Am Soc Clin Oncol. 2006;24(32):5166–9.
Wattchow DA et al. General practice vs surgical-based follow-up for patients with colon cancer: randomised controlled trial. Br J Cancer. 2006;94(8):1116–21.
Grunfeld E et al. Randomized trial of long-term follow-up for early-stage breast cancer: a comparison of family physician versus specialist care. J Clin Oncol. 2006;24(6):848–55.
Oeffinger KC, McCabe MS. Models for delivering survivorship care. J Clin Oncol Off J Am Soc Clin Oncol. 2006;24(32):5117–24.
Miller SM, American Psychological Association. Handbook of cancer control and behavioral science: a resource for researchers, practitioners, and policy makers. 1st ed. Washington: American Psychological Association; 2009.
Earle CC. Failing to plan is planning to fail: improving the quality of care with survivorship care plans. J Clini Oncol Off J Am Soc Clin Oncol. 2006;24(32):5112–6.
Grunfeld E, Earle CC. The interface between primary and oncology specialty care: treatment through survivorship. J Natl Cancer Inst Monogr. 2010;2010(40):25–30.
Nekhlyudov L. Integrating primary care in cancer survivorship programs: models of care for a growing patient population. Oncologist. 2014;19(6):579–82.
Tinetti ME, Fried TR, Boyd CM. Designing health care for the most common chronic condition—multimorbidity. JAMA. 2012;307(23):2493–4.
Fortin M et al. Multimorbidity is common to family practice: is it commonly researched? Can Fam Physician. 2005;51(2):244–5.
Ritchie CS, Kvale E, Fisch MJ. Multimorbidity: an issue of growing importance for oncologists. J Oncol Pract. 2011;7(6):371–4.
Halpern, M.T., et al. Models of cancer survivorship care: overview and summary of current evidence. J Oncol Pract. 2014.
Oeffinger KC, McCabe MS. Models for delivering survivorship care. J Clin Oncol. 2006;24(32):5117–24.
Ogle KS et al. Cancer and comorbidity. Cancer. 2000;88(3):653–63.
Del Giudice ME et al. Primary care physicians’ views of routine follow-up care of cancer survivors. J Clin Oncol. 2009;27(20):3338–45.
Cheung W et al. Physician preferences and attitudes regarding different models of cancer survivorship care: a comparison of primary care providers and oncologists. J Cancer Surviv. 2013;7(3):343–54.
Klabunde CN et al. Physician roles in the cancer-related follow-up care of cancer survivors. Fam Med. 2013;45(7):463–74.
Tomoaia-Cotisel A et al. Context matters: the experience of 14 research teams in systematically reporting contextual factors important for practice change. Ann Fam Med. 2013;11 Suppl 1:S115–23.
Miller WL et al. Primary care practice development: a relationship-centered approach. Ann Fam Med. 2010;8 Suppl 1:S68–79.
Arrow K et al. Toward a 21st-century health care system: recommendations for health care reform. Ann Intern Med. 2009;150(7):493.
Berenson R et al. A house is not a home: keeping patients at the center of practice redesign. Health Aff (Millwood). 2008;27(5):1219–30.
Davis K, Schoenbaum SC, Audet AM. A 2020 vision of patient-centered primary care. J Gen Intern Med. 2005;20(10):953–7.
Green L et al. Task Force 1. Report of the task force on patient experience, core values, reintegration, and the new model of family medicine. Ann Fam Med. 2004;2(Supplement 1):S33–50.
Scholle SH et al. Patient-centered medical homes in the United States. J Ambul Care Manag. 2011;34(1):20–32.
Sia C et al. History of the medical home concept. Pediatrics. 2004;113(5 Suppl):1473–8.
The Robert Graham Center. The patient-centered medical home: History, seven core features, evidence and transformational change. 2007; Available from: http://www.graham-center.org/online/graham/home/publications/monographs-books/2007/rgcmo-medical-home.html
Chesluk BJ, Holmboe ES. How teams work—or don’t—in primary care: a field study on internal medicine practices. Health Aff (Millwood). 2010;29(5):874–9.
Crabtree BF et al. Closing the physician-staff divide: a step toward creating the medical home. Fam Pract Manag. 2008;15(4):20–4.
Bitton A. Who is on the home team? Redefining the relationship between primary and specialty care in the patient-centered medical home. Med Care. 2011;49(1):1–3.
Fisher ES. Building a medical neighborhood for the medical home. N Engl J Med. 2008;359(12):1202–5.
O’Malley, A.S., et al. Are electronic medical records helpful for care coordination? Experiences of physician practices. J Gen Intern Med. 2009.
Pham HH. Good neighbors: how will the patient-centered medical home relate to the rest of the health-care delivery system? J Gen Intern Med. 2010;25(6):630–4.
Pham HH et al. Primary care physicians’ links to other physicians through Medicare patients: the scope of care coordination. Ann Intern Med. 2009;150(4):236–42.
Rittenhouse, D.R., S.M. Shortell, and E.S. Fisher. Primary care and accountable care—two essential elements of delivery-system reform. N Engl J Med, 2009.
Crosson JC, Bazemore AW, Phillips Jr RL. EHR implementation without meaningful use can lead to worse outcomes. Am Fam Physician. 2011;84(11):1220.
Crosson JC et al. Meaningful use of electronic prescribing in 5 exemplar primary care practices. Ann Fam Med. 2011;9(5):392–7.
Crosson JC et al. Early adopters of electronic prescribing struggle to make meaningful use of formulary checks and medication history documentation. J Am Board Fam Med. 2012;25(1):24–32.
Nutting PA et al. Transforming physician practices to patient-centered medical homes: lessons from the national demonstration project. Health Aff. 2011;30(3):439–45.
Crabtree BF et al. Summary of the National Demonstration Project and recommendations for the patient-centered medical home. Ann Fam Med. 2010;8 Suppl 1:S80–90.
Patton, M.Q. Qualitative research. 2005: Wiley Online Library.
Crabtree, B.F. and W.L. Miller. Doing qualitative research. 1999: Sage Publications.
Miles, M.B. and A.M. Huberman. Qualitative data analysis: an expanded sourcebook. 2nd ed. Thousand Oaks: Sage Publications. xiv, 338;1994.
Cohen D et al. A practice change model for quality improvement in primary care practice. J Healthc Manag. 2004;49(3):155–68. discussion 169-70.
Blanch-Hartigan D et al. 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. 2014;32(15):1578–85.
Boekhout A et al. A survivorship care plan for breast cancer survivors: extended results of a randomized clinical trial. J Cancer Surviv. 2015;9(4):683–91.
Stricker CT, Jacobs LA, Palmer SC. Survivorship care plans: an argument for evidence over common sense. J Clin Oncol. 2012;30(12):1392–3.
Smith TJ, Snyder C. Is it time for (survivorship care) plan B? J Clin Oncol. 2011;29(36):4740–2.
Campbell MK et al. Adult cancer survivorship care: experiences from the LIVESTRONG centers of excellence network. J Cancer Surviv. 2011;5(3):271–82.
Grant M et al. Facilitating survivorship program development for health care providers and administrators. J Cancer Surviv. 2014;9(2):180–7.