Skip to main content

Table 1 Components of the RbCCCMa

From: Optimizing clinical and organizational practice in cancer survivor transitions between specialized oncology and primary care teams: a realist evaluation of multiple case studies

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
  1. aTo be validated in Step I: development of the intervention with the decision–making partners
  2. bOngoing procedures for translating clinical reference tools from the Oncology Nursing Society
  3. cClientele refers to cancer patients and their families