Components | Planned activities | Deliverables |
---|---|---|
Professional | • Identification of needs (e.g..: continuing education, clinical toolsb, skills development) • Oncological risk evaluation and multimorbidity (health status) • Clarification of roles | • Online training modules • Criteria for referrals between teams • Identify and develop clinical tools (survivorship care plan) |
Organizational | • Development/adaptation of coordination and communication tools • Consolidation of intra- and inter-team work | • Identify organizational actions for teamwork • Design effective service corridors |
Clientelec | • Development/adaptation of information tools • Identification of community resources • Development/adaptation of education for clientele (self-care, symptom management, navigation in health system) | • Paper and web publications • Survivorship workshop • Adapted monitoring tools • Inventory of resource persons |
Governance (policy makers, administrators) | • Establishment of normative and legislative aspects related to survival issues • Establishment/consolidation of a provincial survivorship committee (mandates and responsibilities) | • Recommendations/incentives • Recognition/clinical time for survivorship care • Mention of RbCCCM in provincial and national cancer and action plans |