title: Improving health care for adult survivors of childhood cancer: recommendations from a delphi panel of health policy experts.
abstract: OBJECTIVE
  To identify barriers to, models of care for, and initiatives to improve health care of adult survivors of childhood cancer.
  
  
  METHODS
  Seventeen health care policy experts were asked to respond to the three objectives through a three-iterative Delphi process.
  
  
  RESULTS
  Key barriers identified were that primary care physicians are unfamiliar with the health problems of survivors and survivors are often unaware of their risks. The recommended model of care would incorporate the chronic disease management model. Highest priority initiatives recommended were targeted education of primary care physicians and survivors, development and evaluation of standards of survivorship care, and a national web-based information center.
  
  
  CONCLUSIONS
  The insights and recommendations of the panel provide a foundation intended to improve health care of cancer survivors.
authors.affiliation: Division of Pediatric Epidemiology and Clinical Research, 420 Delaware St. SE, MMC 715, Minneapolis, MN 55455, USA. mertens@epi.umn.edu
authors.forename: Ann C
authors.initials: AC
authors.lastname: Mertens
authors.forename: Kelly L
authors.initials: KL
authors.lastname: Cotter
authors.forename: Barbara M
authors.initials: BM
authors.lastname: Foster
authors.forename: Brad J
authors.initials: BJ
authors.lastname: Zebrack
authors.forename: Melissa M
authors.initials: MM
authors.lastname: Hudson
authors.forename: Debra
authors.initials: D
authors.lastname: Eshelman
authors.forename: Lauren
authors.initials: L
authors.lastname: Loftis
authors.forename: Margaret
authors.initials: M
authors.lastname: Sozio
authors.forename: Kevin C
authors.initials: KC
authors.lastname: Oeffinger
mesh_terms: D000328:Adult; D003697:Delphi Technique; D006291:Health Policy; D006302:Health Services Research; D006801:Humans; D009369:Neoplasms; D011787:Quality of Health Care; D017741:Survivors; D014481:United States