title: Shared Medical Appointments in Cancer Survivorship Care: A Review of the Literature.
abstract: The physical and psychological effects of a cancer diagnosis and treatment on an individual may be significant and require appropriate monitoring and management. Furthermore, attention to preventive care and comorbid medical conditions is critical. Innovative approaches are needed to provide quality care to this growing population.
  
  
  
  We reviewed the literature evaluating shared medical appointments (SMAs) in noncancer and cancer care settings. Supported by a conceptual framework and adhering to the goals of patient-centered communication, we propose how SMAs may be used in clinical practice to enhance survivorship care.
  
  
  
  The literature suggests that SMAs are an effective model in noncancer settings, showing improved blood pressure and health-related quality of life, among others. Although evidence for SMAs in cancer care is limited, there is significant potential for improved patient outcomes and costs. In particular, SMAs may provide an opportunity to address medical and psychological needs while creating a structure for enhanced communication.
  
  
  
  SMAs may offer an innovative care model for cancer survivors and their providers. Implementation and evaluation of SMAs in the care of cancer survivors is warranted.
authors.affiliation: Betty Irene Moore School of Nursing, University of California Davis, Davis, CA; Dana-Farber Cancer Institute-Harvard Medical School; and Harvard Vanguard Medical Associates, Boston, MA screed@ucdavis.edu.
authors.forename: Sarah C
authors.initials: SC
authors.lastname: Reed
authors.affiliation: Betty Irene Moore School of Nursing, University of California Davis, Davis, CA; Dana-Farber Cancer Institute-Harvard Medical School; and Harvard Vanguard Medical Associates, Boston, MA.
authors.forename: Ann H
authors.initials: AH
authors.lastname: Partridge
authors.affiliation: Betty Irene Moore School of Nursing, University of California Davis, Davis, CA; Dana-Farber Cancer Institute-Harvard Medical School; and Harvard Vanguard Medical Associates, Boston, MA.
authors.forename: Larissa
authors.initials: L
authors.lastname: Nekhlyudov
mesh_terms: D001071:Appointments and Schedules; D000073116:Cancer Survivors; D003142:Communication; D006801:Humans; D010342:Patient Acceptance of Health Care; D010348:Patient Care Team / Q000458:organization & administration*; D017060:Patient Satisfaction; D011787:Quality of Health Care