Optimizing endometrial cancer follow-up and survivorship care for rural and other underserved women

Patient and provider perspectives

Teresa L. Rutledge, Miria Kano, Dolores Guest, Andrew Sussman, Anita Kinney

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives This study describes patient and provider attitudes on transitioning cancer surveillance visits and treatment of comorbid conditions to the primary care setting in a rural patient population as a strategy for minimizing financial and travel related barriers for patients while simultaneously enhancing quality and availability of health care options. Methods Focus group discussions and telephone interviews were conducted with endometrial cancer (EC) survivors and primary care providers (PCPs) to provide insights into post-treatment follow-up practices and the acceptability of transitioning follow-up to primary care setting utilizing a cancer survivorship care plan model. Results EC survivors expressed high levels of satisfaction with their oncology care and suggested that transitioning to PCPs for follow-up care would be convenient yet challenging. Challenges cited include: 1) patient perceptions of deficits in PCP's understandings of cancer surveillance; 2) inability to identify a personal PCP; and 3) lack of communication between oncologists and PCPs. PCP participants similarly identified the need for extensive EC training and effective communication strategies with oncologists as necessary factors for accepting responsibility for EC follow-up care. Both groups offered strategies to create a more team based approach to EC survivorship care. Conclusions Increasing the role of the PCP in the ongoing care of EC survivors was generally considered acceptable by both patients and providers in both rural and urban women. Successful coordination of care between cancer survivors, oncologists and PCPs will be a critical step in improving the cancer care delivery of our rural patient and provider population.

Original languageEnglish (US)
Pages (from-to)334-339
Number of pages6
JournalGynecologic Oncology
Volume145
Issue number2
DOIs
StatePublished - May 1 2017
Externally publishedYes

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Aftercare
Vulnerable Populations
Endometrial Neoplasms
Primary Health Care
Survival Rate
Survivors
Neoplasms
Communication
Interviews
Quality of Health Care
Rural Population
Focus Groups

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology
  • Oncology

Cite this

Rutledge, Teresa L. ; Kano, Miria ; Guest, Dolores ; Sussman, Andrew ; Kinney, Anita. / Optimizing endometrial cancer follow-up and survivorship care for rural and other underserved women : Patient and provider perspectives. In: Gynecologic Oncology. 2017 ; Vol. 145, No. 2. pp. 334-339.
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Optimizing endometrial cancer follow-up and survivorship care for rural and other underserved women : Patient and provider perspectives. / Rutledge, Teresa L.; Kano, Miria; Guest, Dolores; Sussman, Andrew; Kinney, Anita.

In: Gynecologic Oncology, Vol. 145, No. 2, 01.05.2017, p. 334-339.

Research output: Contribution to journalArticle

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