Provide patient-centered counseling and decision making |
Predisposing factors |
Physician/practice characteristics |
Patient demographics, patient volume |
Apply guidelines |
Knowledge, attitudes, skills |
Knowledge about surveillance guidelines, posttreatment late/long-term effects |
Make screening recommendations |
Perceived barriers |
Assure necessary follow-up, testing |
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Preferences about specialty roles/responsibilities |
Make lifestyle recommendations |
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Communicate with and refer to other clinicians |
Enabling factors |
Organizational resources |
Practice location, medical record system |
Provide patient with oral and written plans |
Coordination structures |
Clinician continuing education in survivorship |
Assess patient needs (physical, psychosocial) |
Interspecialty communication |
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Benchmarks |
Care coordination resources |
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Reinforcing factors |
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Patient adherence |
Patient barriers, concerns, and interactions |
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Guideline consensus |
Professional association standards |
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Professional norms |
Quality improvement indicators |
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Feedback |
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