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. 2024 Apr;18(2):352-365.
doi: 10.1007/s11764-022-01268-y. Epub 2022 Nov 15.

Primary care provider-led cancer survivorship care in the first 5 years following initial cancer treatment: a scoping review of the barriers and solutions to implementation

Brian D Hayes  1 , Hannah G Young  1 , Siavash Atrchian  2   3 , Mathew Vis-Dunbar  4 , Matthew J Stork  5 , Satvir Pandher  6 , Sofia Samper  5 , Sarah McCorquodale  1   5 , Alissa Loader  2 , Christine Voss  7   8   9
Affiliations

Primary care provider-led cancer survivorship care in the first 5 years following initial cancer treatment: a scoping review of the barriers and solutions to implementation

Brian D Hayes et al. J Cancer Surviv. 2024 Apr.

Abstract

Purpose: To synthesize the barriers to primary care provider (PCP)-led cancer survivorship care (≤ 5 years after initial cancer treatment) experienced by healthcare systems around the world, and to explore potential solutions that would succeed within a developed country.

Methods: A scoping review of peer-reviewed articles and grey literature was conducted. Four electronic databases (Medline, Embase, Web of Science Core Collection, and Google Scholar) were searched for articles prior to April 2021.

Results: Ninety-seven articles published across the globe (USA, Canada, Australia, European Union, and UK) met the review inclusion/exclusion criteria. The four most frequently discussed barriers to PCP-led survivorship care in healthcare systems were as follows: (1) insufficient communication between PCPs and cancer specialists, (2) limited PCP knowledge, (3) time restrictions for PCPs to provide comprehensive survivorship care, and (4) a lack of resources (e.g., survivorship care guidelines). Potential solutions to combat these barriers were as follows: (1) improving interdisciplinary communication, (2) bolstering PCP education, and (3) providing survivorship resources.

Conclusions: This scoping review identified and summarized key barriers and solutions to the provision of PCP-led cancer survivorship care. Importantly, the findings from this review provide insight and direction to guide optimization of cancer care practice within BC's healthcare system.

Implications for cancer survivors: Optimizing the PCP-led survivorship care model will be a valuable contribution to the field of cancer survivorship care and will hopefully lead to more widespread use of this model, ultimately lessening the growing demand for cancer-specific care by cancer specialists.

Keywords: Barriers; Cancer; Cancer survivors; Primary care provider (PCP); Solutions; Survivorship care.

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References

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