title: Institute of medicine recommendations for improving the quality of cancer care: what do they mean for the general internist?
abstract: In order to evaluate and address the deficiencies in the U.S. cancer care system, particularly affecting the growing elderly population, the Institute of Medicine (IOM) convened a panel representing oncology providers, surgeons, primary care providers, researchers, policy makers and patients. The Committee concluded that cancer care is on the brink of crisis and issued recommendations targeting all stakeholders involved in cancer care. General internists play a critical role in the care of cancer patients, from the time of diagnosis, through treatment, survivorship and end of life care. We review the IOM recommendations, highlight those that are particularly relevant to the general internist, and outline clinical, research and educational opportunities where general internists should take an expanded role.
authors.affiliation: Department of Population Medicine, Harvard Medical School and Department of Medicine, Harvard Vanguard Medical Associates, 133 Brookline Avenue, 6th Floor, Boston, MA, 02215, USA, Larissa_Nekhlyudov@vmed.org.
authors.forename: Larissa
authors.initials: L
authors.lastname: Nekhlyudov
authors.forename: Neil
authors.initials: N
authors.lastname: Wenger
mesh_terms: D003695:Delivery of Health Care / Q000592:standards*; D058005:General Practitioners / Q000592:standards*; D006801:Humans; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D009369:Neoplasms / Q000175:diagnosis / Q000628:therapy*; D010358:Patient Participation; D017410:Practice Guidelines as Topic / Q000592:standards*; D011787:Quality of Health Care / Q000592:standards*; D014481:United States