title: Integrating a prospective surveillance model for rehabilitation into breast cancer survivorship care.
abstract: At some point during or after treatment, breast cancer may be considered a chronic illness, presenting many choices for managing the disease, its adverse treatment-related effects, other medical comorbidities as well as the biobehavioral burden of having a life-threatening disease, even for individuals with potentially curable breast cancer. Health care models, such as the chronic care model, the medical home, and the shared care model, provide a context for building survivorship health care models. Goals and characteristics of recently proposed shared care models for cancer survivorship health care delivery closely align with the goals and concepts of the prospective surveillance model (PSM) proposed elsewhere in this supplement to the journal Cancer. Given these similarities, along with the growth and expansion of survivorship care models and impending mandates for delivery, there is merit to considering how implementation of the PSM can be integrated with models of survivorship care delivery. The PSM model will likely face many similar challenges and barriers that have impeded widespread dissemination of other survivorship models of care. There exist opportunities to integrate lessons learned as well as to align efforts to achieve greater impact on the shared goal of improving health outcomes for breast cancer survivors.
authors.affiliation: George Mason University, Center for Study of Chronic Illness and Disability, Fairfax, Virginia 22030, USA. ngerber1@gmu.edu
authors.forename: Lynn H
authors.initials: LH
authors.lastname: Gerber
authors.forename: Nicole L
authors.initials: NL
authors.lastname: Stout
authors.forename: Kathryn H
authors.initials: KH
authors.lastname: Schmitz
authors.forename: Carrie T
authors.initials: CT
authors.lastname: Stricker
mesh_terms: D000328:Adult; D000368:Aged; D000570:American Cancer Society; D001943:Breast Neoplasms / Q000401:mortality* / Q000534:rehabilitation* / Q000628:therapy; D003131:Combined Modality Therapy; D003226:Congresses as Topic; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D018572:Disease-Free Survival; D015444:Exercise; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D017146:Models, Organizational; D010348:Patient Care Team / Q000458:organization & administration; D026741:Physical Therapy Modalities; D017410:Practice Guidelines as Topic; D011379:Prognosis; D011446:Prospective Studies; D011788:Quality of Life; D015996:Survival Rate; D014481:United States