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  • Management of Cancer and Health After the Clinic Visit: A Call to Action for Self-Management in Cancer Care

    Author(s)
    Howell, Doris
    Mayer, Deborah K
    Fielding, Richard
    Eicher, Manuela
    Verdonck-de Leeuw, Irma M
    Johansen, Christoffer
    Soto-Perez-de-Celis, Enrique
    Foster, Claire
    Chan, Raymond
    Alfano, Catherine M
    Hudson, Shawna V
    Jefford, Michael
    Lam, Wendy WT
    Loerzel, Victoria
    et al.
    Griffith University Author(s)
    Chan, Ray
    Year published
    2021
    Metadata
    Show full item record
    Abstract
    Individuals with cancer and their families assume responsibility for management of cancer as an acute and chronic disease. Yet, cancer lags other chronic diseases in its provision of proactive self-management support in routine, everyday care leaving this population vulnerable to worse health status, long-term disability, and poorer survival. Enabling cancer patients to manage the medical and emotional consequences and lifestyle and work changes due to cancer and treatment is essential to optimizing health and recovery across the continuum of cancer. In this paper, the Global Partners on Self-Management in Cancer puts forth ...
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    Individuals with cancer and their families assume responsibility for management of cancer as an acute and chronic disease. Yet, cancer lags other chronic diseases in its provision of proactive self-management support in routine, everyday care leaving this population vulnerable to worse health status, long-term disability, and poorer survival. Enabling cancer patients to manage the medical and emotional consequences and lifestyle and work changes due to cancer and treatment is essential to optimizing health and recovery across the continuum of cancer. In this paper, the Global Partners on Self-Management in Cancer puts forth six priority areas for action: Action 1: Prepare patients and survivors for active involvement in care; Action 2: Shift the care culture to support patients as partners in cocreating health and embed self-management support in everyday health-care provider practices and in care pathways; Action 3: Prepare the workforce in the knowledge and skills necessary to enable patients in effective self-management and reach consensus on core curricula; Action 4: Establish and reach consensus on a patient-reported outcome system for measuring the effects of self-management support and performance accountability; Action 5: Advance the evidence and stimulate research on self-management and self-management support in cancer populations; Action 6: Expand reach and access to self-management support programs across care sectors and tailored to diversity of need and stimulation of research to advance knowledge. It is time for a revolution to better integrate self-management support as part of high-quality, person-centered support and precision medicine in cancer care to optimize health outcomes, accelerate recovery, and possibly improve survival.
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    Journal Title
    JNCI: Journal of the National Cancer Institute
    Volume
    113
    Issue
    5
    DOI
    https://doi.org/10.1093/jnci/djaa083
    Subject
    Oncology and carcinogenesis
    Publication URI
    http://hdl.handle.net/10072/404503
    Collection
    • Journal articles

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