Provider perceptions and expectations of breast cancer posttreatment care: A University of California Athena Breast Health Network project

Erin E. Hahn, Patricia A. Ganz, Michelle E. Melisko, John P. Pierce, Marlene von Friederichs-Fitzwater, Karen T. Lane, Robert A. Hiatt

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Purpose: The Athena Breast Health Network collaboration is a University of California system-wide project initiated with the intent to drive innovation in breast cancer prevention, screening, and treatment. This qualitative research examines provider perceptions and expectations of posttreatment breast cancer care across five network sites with the goal of better understanding provider behavior during the posttreatment phase of the cancer care trajectory. Methods: Investigators at each site conducted semi-structured interviews with oncology specialists and primary care providers (PCPs). Interviews used case study examples and open- and closed-ended questions on the delivery of posttreatment breast cancer care. Informant responses were manually recorded by the interviewer, compiled in a database, then coded and analyzed using NVivo 9 software. Results: There were 39 key informants across the sites: 14 medical oncologists, 7 radiation oncologists, 11 surgeons, 3 oncology nurses, and 4 PCPs. Care coordination was a major unprompted theme identified in the interviews. There was a perceived need for greater care coordination across institutions in order to improve delivery of posttreatment health care services and a need for greater care coordination within oncology, particularly to help avoid duplication of follow-up care and services. Participants expect frequent follow-up visits and to use biomarker tests and advanced imaging services as part of routine surveillance care. Implementing survivorship care programs was perceived as a way to improve care delivery. Conclusions: These results identify a need for increased focus on care coordination during the posttreatment phase of breast cancer care within the University of California system and the potential for system and provider-level interventions that could help increase coordination of posttreatment care. Implications for Cancer Survivors: Breast cancer survivors do not always receive evidence-based care. This research helps to better understand what motivates provider behavior during the posttreatment phase and lays a foundation for targeted interventions to increase adherence to evidence-based recommendations.

Original languageEnglish (US)
Pages (from-to)323-330
Number of pages8
JournalJournal of Cancer Survivorship
Volume7
Issue number3
DOIs
StatePublished - Sep 2013

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Breast
Breast Neoplasms
Health
Interviews
Primary Health Care
Aftercare
Qualitative Research
Early Detection of Cancer
Health Services
Software
Biomarkers
Nurses
Research Personnel
Databases
Delivery of Health Care
Research
Neoplasms
Therapeutics

Keywords

  • Breast cancer posttreatment care

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)

Cite this

Hahn, E. E., Ganz, P. A., Melisko, M. E., Pierce, J. P., von Friederichs-Fitzwater, M., Lane, K. T., & Hiatt, R. A. (2013). Provider perceptions and expectations of breast cancer posttreatment care: A University of California Athena Breast Health Network project. Journal of Cancer Survivorship, 7(3), 323-330. https://doi.org/10.1007/s11764-013-0269-7

Provider perceptions and expectations of breast cancer posttreatment care : A University of California Athena Breast Health Network project. / Hahn, Erin E.; Ganz, Patricia A.; Melisko, Michelle E.; Pierce, John P.; von Friederichs-Fitzwater, Marlene; Lane, Karen T.; Hiatt, Robert A.

In: Journal of Cancer Survivorship, Vol. 7, No. 3, 09.2013, p. 323-330.

Research output: Contribution to journalArticle

Hahn, Erin E. ; Ganz, Patricia A. ; Melisko, Michelle E. ; Pierce, John P. ; von Friederichs-Fitzwater, Marlene ; Lane, Karen T. ; Hiatt, Robert A. / Provider perceptions and expectations of breast cancer posttreatment care : A University of California Athena Breast Health Network project. In: Journal of Cancer Survivorship. 2013 ; Vol. 7, No. 3. pp. 323-330.
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