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The Challenge of Implementing Survivorship Care Plans 

The Challenge of Implementing Survivorship Care Plans
Chapter:
The Challenge of Implementing Survivorship Care Plans
Author(s):

Sarah A. Birken

, Erin E. Hahn

, Yan Yu

, Emily Haines

, Deborah K. Mayer

, and Brian Mittman

DOI:
10.1093/med/9780190647421.003.0028
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date: 20 July 2019

This case study examines the challenge of implementing survivorship care plans (SCPs), which are intended to document cancer treatment, make recommendations for future care, and facilitate cancer survivors’ care transitions. It describes SCPs’ policy context and offers as a case study the SCP implementation experiences of a university-based hospital and an integrated delivery system. It recommends implementation science as a next step in developing more definitive evidence of SCPs’ effectiveness, which is determined in part by implementation. It also describes promising SCP implementation studies that take into account stakeholders’ perspectives on SCP implementation and plan to leverage findings for future studies in which implementation is examined as a determinant of SCP effectiveness. It recommends future research that uses stakeholder perspectives to develop systems for SCP implementation, adapts SCPs to fit cancer programs’ unique contexts, and investigates the implementation of survivorship care programs of which SCPs are just one component.

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