BACKGROUND: The objectives of this study were to characterize survivorship models of care across eight LIVESTRONG Survivorship Center of Excellence (COE) Network sites and to identify barriers and facilitators influencing survivorship care. METHODS: Using the framework of the Chronic Care Model (CCM), quantitative and qualitative methods of inquiry were conducted with the COEs. Methods included document reviews, key informant telephone interviews with 39 @entity1 , online Assessment of @entity102 Care (ACIC) surveys with 40 @entity1 , and three site visits. RESULTS: Several overarching themes emerged in qualitative interviews and were substantiated by quantitative methods. Health system factors supporting survivorship care include organization and leadership commitment and program champions at various levels of the health care team. System barriers include reimbursement issues, lack of space, and the need for leadership commitment to support changes in clinical practices as well as having program "champions" among clinical staff. Multiple models of care include separate survivorship clinics and integrated models as well as consultative models. COEs' scores on the ACIC survey showed overall "reasonable support" for survivorship care; however, the clinical information system domain was least developed. Although the ACIC findings indicated "reasonable support" for self-management, the qualitative analysis revealed that self-management support was largely limited to health promotion provided in clinic-based education and counseling sessions, with few COEs providing @entity1 with self-management tools and interventions. CONCLUSIONS: The CCM framework captured experiences and challenges of these COEs and provided insight into the current state of survivorship care in the context of National @entity5 Institute-designated comprehensive @entity5 centers. Findings showed that @entity5 @entity1 and providers could benefit from clinical information systems that would better identify candidates for survivorship care and provide timely information. In addition, a crucial area for development is self-management support outside of clinical care. IMPLICATIONS FOR CANCER SURVIVORS: @entity5 survivors may benefit from learning about the experience and challenges faced by the eight LIVESTRONG Centers of Excellence in developing programs and models for @entity5 survivorship care, and these findings may inform @entity1 and caregiver efforts to seek, evaluate, and advocate for quality survivorship programs designed to meet their needs.

Adult XXXX survivorship care: experiences from the LIVESTRONG centers of excellence network.

@entity1 :: ('9606', 'Species') :: ['participants', 'patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer', 'Cancer'] @entity102 :: ('MESH:D002908', 'Disease') :: ['Chronic Illness']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
