Long-Term survivorship clinics led by primary care physicians within the cancer center may be a good option for coordinated survivorship care

摘要

The optimal system for the delivery of high-quality, well-coordinated survivorship care is still controversial, and various models have been suggested in the United States and other countries, including exclusive follow-up care by primary care physicians (PCPs), shared care with PCPs or nurse practitioners, and specialized multidisciplinary survivorship programs.Recently, an Italian group of researchers suggested developing cancer survivorship clinics within the departments of oncology at major cancer hospitals with medical oncologists and psychologists working together in association with other specialists, particularly cardiologists.2'3 Such a model was based on the assumption that patients are reluctant to have their care be transferred to general practitioners, and general practitioners have a low level of interest in managing the care of patients with cancer. Barriers to implementing survivorship care plans were also considered.