Management of cancer and health after the clinic visit: A call to action for self-management in cancer care

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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 (SMS) 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, emotional consequences, and lifestyle/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 (GPS) puts forth six priority areas for action. Action 1: Prepare patients/survivors for active involvement in care. Action 2: Shift the care culture to support patients as partners in co-creating 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’s 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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Author and article information

Journal

Title: JNCI: Journal of the National Cancer Institute

Publisher: Oxford University Press (OUP)

ISSN (Print): 0027-8874

ISSN (Electronic): 1460-2105

Publication date Created: June 11 2020

Publication date (Electronic): June 11 2020

Affiliations

[1 ]Department of Supportive Care, Princess Margaret Cancer Research Center and Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON. Canada

[2 ]School of Nursing, University of North Carolina & Lineberger Comprehensive Cancer Center, Chapel Hill, USA

[3 ]University of Hong Kong Jockey Club Institute of Cancer Care, Hong Kong, China

[4 ]Institute of Higher Education and Research in Health Care, Faculty of Biology and Medicine, University of Lausanne and Department of Oncology, Lausanne University Hospital, Switzerland

[5 ]Vrije Universiteit Amsterdam, Dept. of Clinical Psychology, Amsterdam University Medical Centers, Dept of Otolaryongoly/Head & Neck Surgery, Cancer Centre, Amsterdam, The Netherlands

[6 ]Department of Oncology, Rigshospitalet, Copenhagen, Denmark

[7 ]Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico

[8 ]School of Health Sciences, University of Southampton, Surrey, UK

[9 ]Princess Alexander Hospital and Queensland University of Technology, Brisbane, Australia

[10 ]American Cancer Society, Inc., Washington, DC. USA

[11 ]Rutgers Cancer Institute of New Jersey and Rutgers Wood Johnson Medical School, Dept of Family Medicine and Community Health, Rutgers University, New Brunswick, NJ, USA

[12 ]Australian Cancer Survivorship Centre, Peter MacCallum Centre, Australia

[13 ]Division of Behavioural Sciences, School of Public Health, and Jockey Club Institute of Cancer Care, University of Hong Kong, Hong Kong, China

[14 ]University of Central Florida College of Nursing, Orlando, Florida, USA

[15 ]Department of Oncology and Hemato-Oncology, University of Milan, Italy & Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy

[16 ]Department of Human Structure and Repair, Ghent University, Ghent, Belgium

[17 ]Stanford Cancer Institute, Stanford University, Stanford, California, USA

[18 ]Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA

[19 ]Department of Medical Oncology & Flinders University, Bedford Park, South Australia. and members of the Global Partners for Self-Management in Cancer (GPS)

Article

DOI: 10.1093/jnci/djaa083

PMC ID: 8096367

PubMed ID: 32525530

SO-VID: 6d5684e3-838f-4157-8350-798d3f4250d1

License:

https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model

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