Table 4.

Level of primary care engagement

INITIATIVE (PROVINCE)	LEVEL OF PRIMARY CARE ENGAGEMENT	DESCRIPTION
Clinical Breast Health Program (AB)	Moderate	PCPs refer patients to the program and receive updates on the progress of their patients
Comprehensive Breast Health Program (AB)	Moderate	PCPs refer patients to the program and receive updates on the progress of their patients
Diagnostic Assessment Programs (ON)	Low	PCPs refer patients to the program
eReferral (AB)	Moderate	PCPs worked alongside specialists to design the referral process PCPs provide electronic referrals for specialty care
LEAN on cME (MB)	Low	Program provides PCPs with oncology education
Ontario Breast Screening Program (ON)	Moderate	PCPs refer patients to the program and patients’ screening results are shared with PCPs
Nova Scotia Breast Screening Program (NS)	Moderate	Most patients report that their PCPs encouraged them to get screened Patients’ screening results and follow-up appointments are shared with PCPs Diagnostic examinations are booked through the program then forwarded to PCPs, who inform their patients
Survivorship Nurse Practitioner Program (BC)	High	Program takes place in a primary care setting and nurses interact and collaborate with PCPs daily
Juravinski Cancer Centre well follow-up clinics (ON)	Low	PCPs receive copies of their patients’ transition letters and SCPs
Optimizing a Cancer Survivorship Care Model for Northeast Ontario (ON)	High	PCPs involved in development of clinical pathways and educational materials for patients Specialized PCPs help patients transition to their PCPs after completion of treatment (ie, shared care) PCPs receive oncologists’ discharge notes, patients’ medical records, and surveillance guidelines PCPs have the opportunity to attend educational workshops
Wellness Beyond Cancer Program (ON)	High	PCPs provide shared care with nurse practitioners PCPs receive copies of their patients’ discharge letters and SCPs
Transition Care Clinic (ON)	Moderate	PCPs receive access to their patients’ electronic care summaries PCPs receive oncology-related education from specialists
Well follow-up care for colorectal cancer survivors and their circles of care (ON)	High	PCPs were consulted and informed throughout program development Program provides shared care to patients Program provides PCPs with patient information and oncology-related resources
Embedding disease pathway management published pathways into process of care (ON)	Moderate	PCPs involved in the development of clinical pathways PCPs receive copies of their patients’ SCPs and reminder letters for follow-up care
Provincial Integrated Cancer Survivorship Program (AB)	Low	PCPs involved in the design and testing of mechanisms that embed follow-up guidelines into PCPs’ electronic medical records
Moving Forward after Cancer Treatment (MB)	Moderate	PCPs involved in the development of program materials PCPs receive copies of their patients’ SCPs
Transition Volunteer Navigator Program (BC, NS)	Low	PCPs receive information about the initiative
Victorian Cancer Survivorship Program (AU)	Moderate	PCPs receive copies of their patients’ SCPs PCPs meet with patients to review their SCPs and to address their concerns
Oncology Navigation Program (ON)	High	PCPs involved in the development of program materials and refer patients to the program Program takes place in a primary care setting, and specialized nurses interact and collaborate with PCPs daily
Alberta Cancer Foundation Cancer Patient Navigation (AB)	Low	PCPs refer patients to the program
Establishing oncology pivot nurses in Quebec (QC)	Low	PCPs contact program providers to receive updates about their patients
Community-based cancer patient navigation (NS)	High	Program provides shared care to patients
Uniting Primary Care and Oncology (MB)	Moderate	Program provides PCPs with oncology-related education Program provides a platform for collaboration and communication between specialty and primary care
British Columbia Family Practice Oncology Network (BC)	Moderate	PCPs are involved in the development of program materials Program provides PCPs with oncology-related education and resources Program provides a platform for collaboration and communication between specialty and primary care

AB—Alberta, AU—Australia, BC—British Columbia, MB—Manitoba, NS—Nova Scotia, ON—Ontario, PCP—primary care provider, QC—Quebec, SCP—survivorship care plan.

Reproduced from the CanIMPACT Casebook.¹⁰