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Article

Risk-Stratified Pathways for Cancer Survivorship Care: Insights from a Deliberative Multi-Stakeholder Consultation

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Faculté de Médecine et des Sciences de la Santé, Campus de Longueuil-Université de Sherbrooke, 150 Place Charles-Le Moyne, Longueuil, QC J4K 0A8, Canada
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Centre de Recherche Hôpital Charles-Le Moyne, Centre Intégré de Santé et de Services Sociaux de la Montérégie-Centre, Longueuil, QC J4K 0A8, Canada
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École Nationale d’Administration Publique, 4750 Henri-Julien Avenue, Montréal, QC H2T 3E5, Canada
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Faculté des Sciences Infirmières et Centre D’Innovation en Formation Infirmière, Université de Montréal, Montréal, QC H3T 1A8, Canada
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Centre Intégré de Cancérologie de la Montérégie, 3120 Boulevard Taschereau, Greenfield Park, QC J4V 2H1, Canada
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Author to whom correspondence should be addressed.
Curr. Oncol. 2021, 28(5), 3408-3419; https://doi.org/10.3390/curroncol28050295
Received: 6 July 2021 / Revised: 31 August 2021 / Accepted: 2 September 2021 / Published: 5 September 2021
Risk-stratified pathways of survivorship care seek to optimize coordination between cancer specialists and primary care physicians based on the whole person needs of the individual. While the principle is supported by leading cancer institutions, translating knowledge to practice confronts a lack of clarity about the meaning of risk stratification, uncertainties around the expectations the model holds for different actors, and health system structures that impede communication and coordination across the care continuum. These barriers must be better understood and addressed to pave the way for future implementation. Recognizing that an innovation is more likely to be adopted when user experience is incorporated into the planning process, a deliberative consultation was held as a preliminary step to developing a pilot project of risk-stratified pathways for patients transitioning from specialized oncology teams to primary care providers. This article presents findings from the deliberative consultation that sought to understand the perspectives of cancer specialists, primary care physicians, oncology nurses, allied professionals, cancer survivors and researchers regarding the following questions: what does a risk stratified model of cancer survivorship care mean to care providers and users? What are the prerequisites for translating risk stratification into practice? What challenges are involved in establishing these prerequisites? The multi-stakeholder consultation provides empirical data to guide actions that support the development of risk-stratified pathways to coordinate survivorship care. View Full-Text
Keywords: risk stratification; survivorship care; deliberative consultation; multi-stakeholder; care coordination risk stratification; survivorship care; deliberative consultation; multi-stakeholder; care coordination
MDPI and ACS Style

Tremblay, D.; Touati, N.; Bilodeau, K.; Prady, C.; Usher, S.; Leblanc, Y. Risk-Stratified Pathways for Cancer Survivorship Care: Insights from a Deliberative Multi-Stakeholder Consultation. Curr. Oncol. 2021, 28, 3408-3419. https://doi.org/10.3390/curroncol28050295

AMA Style

Tremblay D, Touati N, Bilodeau K, Prady C, Usher S, Leblanc Y. Risk-Stratified Pathways for Cancer Survivorship Care: Insights from a Deliberative Multi-Stakeholder Consultation. Current Oncology. 2021; 28(5):3408-3419. https://doi.org/10.3390/curroncol28050295

Chicago/Turabian Style

Tremblay, Dominique, Nassera Touati, Karine Bilodeau, Catherine Prady, Susan Usher, and Yves Leblanc. 2021. "Risk-Stratified Pathways for Cancer Survivorship Care: Insights from a Deliberative Multi-Stakeholder Consultation" Current Oncology 28, no. 5: 3408-3419. https://doi.org/10.3390/curroncol28050295

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