Establishing a General Medical Outpatient Clinic for Cancer Survivors in a Public City Hospital Setting
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Auteurs : Elliott J. Goytia [États-Unis] ; David W. Lounsbury [États-Unis] ; Mary S. Mccabe [États-Unis] ; Elisa Weiss [États-Unis] ; Meghan Newcomer [États-Unis] ; Deena J. Nelson [États-Unis] ; Debra Brennessel [États-Unis] ; Bruce D. Rapkin [États-Unis] ; M. Margaret Kemeny [États-Unis]Source :
- Journal of General Internal Medicine [ 0884-8734 ] ; 2009.
Abstract
Many cancer centers and community hospitals are developing novel models of survivorship care. However, few are specifically focused on services for socio-economically disadvantaged cancer survivors.
To describe a new model of survivorship care serving culturally diverse, urban adult cancer patients and to present findings from a feasibility evaluation.
Adult cancer patients treated at a public city hospital cancer center.
The clinic provides comprehensive medical and psychosocial services for patients within a public hospital cancer center where they receive their oncology care.
Longitudinal data collected over a 3-year period were used to describe patient demographics, patient needs, and services delivered. Since inception, 410 cancer patients have been served. Demand for services has grown steadily. Hypertension was the most frequent comorbid condition treated. Pain, depression, cardiovascular disease, hyperlipidemia, and bowel dysfunction were the most common post-treatment problems experienced by the patients. Financial counseling was an important patient resource.
This new clinical service has been well-integrated into its public urban hospital setting and constitutes an innovative model of health-care delivery for socio-economically challenged, culturally diverse adult cancer survivors.
The online version of this article (doi:10.1007/s11606-009-1027-4) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1007/s11606-009-1027-4
PubMed: 19838849
PubMed Central: 2763156
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Goytia</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Queens Cancer Center, Queens Hospital Center, 82–68 164th Street, New Building, 5th Floor, Jamaica, New York 11432 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Queens Cancer Center, Queens Hospital Center, 82–68 164th Street, New Building, 5th Floor, Jamaica</wicri:cityArea></affiliation></author><author><name sortKey="Lounsbury, David W" sort="Lounsbury, David W" uniqKey="Lounsbury D" first="David W." last="Lounsbury">David W. Lounsbury</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Epidemiology and Population Health, Albert Einstein College of Medicine of Yeshiva University, 1300 Morris Park Avenue, Belfer Building Room 1312, Bronx, NY 10461 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Epidemiology and Population Health, Albert Einstein College of Medicine of Yeshiva University, 1300 Morris Park Avenue, Belfer Building Room 1312, Bronx</wicri:cityArea></affiliation></author><author><name sortKey="Mccabe, Mary S" sort="Mccabe, Mary S" uniqKey="Mccabe M" first="Mary S." last="Mccabe">Mary S. Mccabe</name><affiliation wicri:level="2"><nlm:aff id="Aff3">Office of Survivorship, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, New York 10022 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Office of Survivorship, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York</wicri:cityArea></affiliation></author><author><name sortKey="Weiss, Elisa" sort="Weiss, Elisa" uniqKey="Weiss E" first="Elisa" last="Weiss">Elisa Weiss</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Epidemiology and Population Health, Albert Einstein College of Medicine of Yeshiva University, 1300 Morris Park Avenue, Belfer Building Room 1312, Bronx, NY 10461 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Epidemiology and Population Health, Albert Einstein College of Medicine of Yeshiva University, 1300 Morris Park Avenue, Belfer Building Room 1312, Bronx</wicri:cityArea></affiliation></author><author><name sortKey=" Newcomer, Meghan" sort=" Newcomer, Meghan" uniqKey=" Newcomer M" first="Meghan" last=" Newcomer">Meghan Newcomer</name><affiliation wicri:level="2"><nlm:aff id="Aff3">Office of Survivorship, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, New York 10022 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Office of Survivorship, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York</wicri:cityArea></affiliation></author><author><name sortKey="Nelson, Deena J" sort="Nelson, Deena J" uniqKey="Nelson D" first="Deena J." last="Nelson">Deena J. Nelson</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Queens Cancer Center, Queens Hospital Center, 82–68 164th Street, New Building, 5th Floor, Jamaica, New York 11432 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Queens Cancer Center, Queens Hospital Center, 82–68 164th Street, New Building, 5th Floor, Jamaica</wicri:cityArea></affiliation></author><author><name sortKey="Brennessel, Debra" sort="Brennessel, Debra" uniqKey="Brennessel D" first="Debra" last="Brennessel">Debra Brennessel</name><affiliation wicri:level="2"><nlm:aff id="Aff4">Department of Medicine, Division of Ambulatory Care, Queens Hospital Center, 82–68 164th Street, New Building, 5th Floor, Jamaica, New York 11432 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Medicine, Division of Ambulatory Care, Queens Hospital Center, 82–68 164th Street, New Building, 5th Floor, Jamaica</wicri:cityArea></affiliation></author><author><name sortKey="Rapkin, Bruce D" sort="Rapkin, Bruce D" uniqKey="Rapkin B" first="Bruce D." last="Rapkin">Bruce D. Rapkin</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Epidemiology and Population Health, Albert Einstein College of Medicine of Yeshiva University, 1300 Morris Park Avenue, Belfer Building Room 1312, Bronx, NY 10461 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Epidemiology and Population Health, Albert Einstein College of Medicine of Yeshiva University, 1300 Morris Park Avenue, Belfer Building Room 1312, Bronx</wicri:cityArea></affiliation></author><author><name sortKey="Kemeny, M Margaret" sort="Kemeny, M Margaret" uniqKey="Kemeny M" first="M. Margaret" last="Kemeny">M. Margaret Kemeny</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Queens Cancer Center, Queens Hospital Center, 82–68 164th Street, New Building, 5th Floor, Jamaica, New York 11432 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Queens Cancer Center, Queens Hospital Center, 82–68 164th Street, New Building, 5th Floor, Jamaica</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of General Internal Medicine</title><idno type="ISSN">0884-8734</idno><idno type="eISSN">1525-1497</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>ABSTRACT</title><sec><title>INTRODUCTION</title><p>Many cancer centers and community hospitals are developing novel models of survivorship care. However, few are specifically focused on services for socio-economically disadvantaged cancer survivors.</p></sec><sec><title>AIMS</title><p>To describe a new model of survivorship care serving culturally diverse, urban adult cancer patients and to present findings from a feasibility evaluation.</p></sec><sec><title>SETTING</title><p>Adult cancer patients treated at a public city hospital cancer center.</p></sec><sec><title>PROGRAM DESCRIPTION</title><p>The clinic provides comprehensive medical and psychosocial services for patients within a public hospital cancer center where they receive their oncology care.</p></sec><sec><title>PROGRAM EVALUATION</title><p>Longitudinal data collected over a 3-year period were used to describe patient demographics, patient needs, and services delivered. Since inception, 410 cancer patients have been served. Demand for services has grown steadily. Hypertension was the most frequent comorbid condition treated. Pain, depression, cardiovascular disease, hyperlipidemia, and bowel dysfunction were the most common post-treatment problems experienced by the patients. Financial counseling was an important patient resource.</p></sec><sec><title>DISCUSSION</title><p>This new clinical service has been well-integrated into its public urban hospital setting and constitutes an innovative model of health-care delivery for socio-economically challenged, culturally diverse adult cancer survivors.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1007/s11606-009-1027-4) contains supplementary material, which is available to authorized users.</p></sec></div></front></TEI><pmc xml:lang="EN" article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Gen Intern Med</journal-id><journal-title>Journal of General Internal Medicine</journal-title><issn pub-type="ppub">0884-8734</issn><issn pub-type="epub">1525-1497</issn><publisher><publisher-name>Springer-Verlag</publisher-name><publisher-loc>New York</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">19838849</article-id><article-id pub-id-type="pmc">2763156</article-id><article-id pub-id-type="publisher-id">1027</article-id><article-id pub-id-type="doi">10.1007/s11606-009-1027-4</article-id><article-categories><subj-group subj-group-type="heading"><subject>Innovations in Clinical Practice</subject></subj-group></article-categories><title-group><article-title>Establishing a General Medical Outpatient Clinic for Cancer Survivors in a Public City Hospital Setting</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name name-style="western"><surname>Goytia</surname><given-names>Elliott J.</given-names></name><degrees>MD, MA</degrees><address><phone>+1-718-8833781</phone><fax>+1-718-8836295</fax><email>goytiae@nychhc.org</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Lounsbury</surname><given-names>David W.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>McCabe</surname><given-names>Mary S.</given-names></name><degrees>RN</degrees><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Weiss</surname><given-names>Elisa</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname> Newcomer</surname><given-names>Meghan</given-names></name><degrees>MPA</degrees><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Nelson</surname><given-names>Deena J.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Brennessel</surname><given-names>Debra</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Rapkin</surname><given-names>Bruce D.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Kemeny</surname><given-names>M. Margaret</given-names></name><degrees>MD, FACS</degrees><xref ref-type="aff" rid="Aff1">1</xref></contrib><aff id="Aff1"><label>1</label>Queens Cancer Center, Queens Hospital Center, 82–68 164th Street, New Building, 5th Floor, Jamaica, New York 11432 USA</aff><aff id="Aff2"><label>2</label>Department of Epidemiology and Population Health, Albert Einstein College of Medicine of Yeshiva University, 1300 Morris Park Avenue, Belfer Building Room 1312, Bronx, NY 10461 USA</aff><aff id="Aff3"><label>3</label>Office of Survivorship, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, New York 10022 USA</aff><aff id="Aff4"><label>4</label>Department of Medicine, Division of Ambulatory Care, Queens Hospital Center, 82–68 164th Street, New Building, 5th Floor, Jamaica, New York 11432 USA</aff></contrib-group><pub-date pub-type="epub"><day>18</day><month>10</month><year>2009</year></pub-date><pub-date pub-type="ppub"><month>11</month><year>2009</year></pub-date><volume>24</volume><issue>Suppl 2</issue><fpage>451</fpage><lpage>455</lpage><permissions><copyright-statement>© Society of General Internal Medicine 2009</copyright-statement></permissions><abstract xml:lang="EN"><title>ABSTRACT</title><sec><title>INTRODUCTION</title><p>Many cancer centers and community hospitals are developing novel models of survivorship care. However, few are specifically focused on services for socio-economically disadvantaged cancer survivors.</p></sec><sec><title>AIMS</title><p>To describe a new model of survivorship care serving culturally diverse, urban adult cancer patients and to present findings from a feasibility evaluation.</p></sec><sec><title>SETTING</title><p>Adult cancer patients treated at a public city hospital cancer center.</p></sec><sec><title>PROGRAM DESCRIPTION</title><p>The clinic provides comprehensive medical and psychosocial services for patients within a public hospital cancer center where they receive their oncology care.</p></sec><sec><title>PROGRAM EVALUATION</title><p>Longitudinal data collected over a 3-year period were used to describe patient demographics, patient needs, and services delivered. Since inception, 410 cancer patients have been served. Demand for services has grown steadily. Hypertension was the most frequent comorbid condition treated. Pain, depression, cardiovascular disease, hyperlipidemia, and bowel dysfunction were the most common post-treatment problems experienced by the patients. Financial counseling was an important patient resource.</p></sec><sec><title>DISCUSSION</title><p>This new clinical service has been well-integrated into its public urban hospital setting and constitutes an innovative model of health-care delivery for socio-economically challenged, culturally diverse adult cancer survivors.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1007/s11606-009-1027-4) contains supplementary material, which is available to authorized users.</p></sec></abstract><kwd-group><title>KEY WORDS</title><kwd>adult cancer survivorship</kwd><kwd>primary care</kwd><kwd>racial and ethnic diversity</kwd><kwd>socio-economically disadvantaged persons</kwd><kwd>long-term follow-up</kwd></kwd-group><custom-meta-wrap><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Society of General Internal Medicine 2009</meta-value></custom-meta></custom-meta-wrap></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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