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Research ArticleOriginal Research

Cancer Survivorship Care Roles for Primary Care Physicians

Benjamin F. Crabtree, William L. Miller, Jenna Howard, Ellen B. Rubinstein, Jennifer Tsui, Shawna V. Hudson, Denalee O’Malley, Jeanne M. Ferrante and Kurt C. Stange
The Annals of Family Medicine May 2020, 18 (3) 202-209; DOI: https://doi.org/10.1370/afm.2498
Benjamin F. Crabtree
1Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
2Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey
PhD, MA
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  • For correspondence: benjamin.crabtree@rutgers.edu
William L. Miller
3Lehigh Valley Health Network, Allentown, Pennsylvania
MD, MA
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Jenna Howard
1Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
PhD
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Ellen B. Rubinstein
4North Dakota State University, Fargo, North Dakota
PhD, MA
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Jennifer Tsui
2Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey
PhD, MPH
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Shawna V. Hudson
1Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
2Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey
PhD
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Denalee O’Malley
1Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
2Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey
PhD, MSW
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Jeanne M. Ferrante
1Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
2Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey
MD, MPH
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Kurt C. Stange
5Case Western Reserve University, Cleveland, Ohio
MD, PhD
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    Table 1

    Practice Descriptions and Characteristics of Clinicians Interviewed in Each

    Practice and Clinician IDAge Range, YSexDegree/SpecialtyLeadership Role (Y/N)Years at Practice
    Practice 01: Large,a suburban, independent, physician-owned; NCQA Level 3
     P01-MD151-60MMD/IMY11-20
     P01-MD241-50FMD/IMY11-20
     P01-MD341-50FMD/IMY11-20
     P01-PA121-30FPAN1-5
    Practice 02: Medium,b suburban, independent, physician-owned; NCQA Level 3
     P02-MD141-50MMD/FMY21+
     P02-MD241-50FMD/FMY11-20
    Practice 03: Medium,b suburban, hospital health system-owned; NCQA Level 3
     P03-MD131-40FMD/FMY6-10
     P03-MD251-60FMD/FMN21+
     P03-MD361-70FMD/FMN21+
    Practice 04: Medium,b rural, FQHC; NCQA Level 3
     P04-MD151-60MMD/FMY21+
     P04-MD251-60MMD/FMY21+
     P04-PA121-30FPAN1-5
    Practice 05: Small,c small city, health system-owned; NCQA Level 3
     P05-MD171-80MMD/FMY21+
     P05-MD261-70MMD/FMY6-10
     P05-NP161-70FNPN21+
    Practice 06: Medium,b rural, health system-owned FQHC; NCQA Level 3
     P06-MD141-50MMD/FMY11-20
     P06-MD251-60FMD/FMN11-20
     P06-MD361-70FMD/FMN21+
    Practice 07: Small,c urban, university nurse-led FQHC; Not participating in NCQA
     P07-NP151-60FNPN1-5
     P07-NP221-30FNPN1-5
     P07-NP321-30FNPN1-5
     P07-NP451-60FNPY1-5
    Practice 08: Small,c suburban, Independent, physician-owned; NCQA Level 3
     P08-MD141-50FDO/FMY11-20
     P08-MD261-70MMD/FMY21+
    Practice 09: Medium,b urban, capitated, non-profit, independent; NCQA Level 3
     P09-MD161-70MMD/FMY6-10
    Practice 10: Large,a urban, academic hospital health system-owned; NCQA Level 3
     P10-MD151-60MMD/IMY1-5
     P10-MD241-50MMD/IMN1-5
     P10-PA131-40FPAN1-5
    Practice 11: Medium,b suburban, VA; Not participating in NCQA
     P11-MD151-60FMD/IMN11-20
    Practice 12: Medium,b urban, independent, physician-owned, multi-site, DPC, Not participating in NCQA
     P12-MD131-40MMD/FMN1-5
     P12-MD241-50FMD/FMY6-10
     P12-MD341-50FMD/FMY6-10
     P12-PA131-40FPAN1-5
    Practice 13: Small,c suburban, independent, Medicare Advantage; Not participating in NCQA
     P13-MD141-50MMD/FMY1-5
     P13-MD251-60FDO/FMN<1
     P13-MD351-60MMD/FMN1-5
    Practice 14: Small,c small city, independent, physician-owned, DPC, Not participating in NCQA
     P14-MD131-40MMD/FMY1-5
     P14-MD241-50MMD/FMY1-5
    • DO = doctor of osteopathic medicine; DPC = direct primary care; F = female; FM = family medicine; FQHC = Federally Qualified Health Center; ID = identification; IM = internal medicine; M = male; MD = medical doctor; NCQA = National Committee for Quality Assurance; NP = nurse practitioners; PA = physician assistant; VA = Veterans Administration.

    • ↵a Large = >10 physicians.

    • ↵b Medium = 5-10 physicians.

    • ↵c Small = <5 physicians.

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The Annals of Family Medicine: 18 (3)
The Annals of Family Medicine: 18 (3)
Vol. 18, Issue 3
May/June 2020
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Cancer Survivorship Care Roles for Primary Care Physicians
Benjamin F. Crabtree, William L. Miller, Jenna Howard, Ellen B. Rubinstein, Jennifer Tsui, Shawna V. Hudson, Denalee O’Malley, Jeanne M. Ferrante, Kurt C. Stange
The Annals of Family Medicine May 2020, 18 (3) 202-209; DOI: 10.1370/afm.2498

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Cancer Survivorship Care Roles for Primary Care Physicians
Benjamin F. Crabtree, William L. Miller, Jenna Howard, Ellen B. Rubinstein, Jennifer Tsui, Shawna V. Hudson, Denalee O’Malley, Jeanne M. Ferrante, Kurt C. Stange
The Annals of Family Medicine May 2020, 18 (3) 202-209; DOI: 10.1370/afm.2498
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Subjects

  • Methods:
    • Qualitative methods
  • Core values of primary care:
    • Coordination / integration of care
    • Personalized care
    • Relationship
  • Other topics:
    • Multimorbidity

Keywords

  • primary care
  • professional identity
  • cancer survivors
  • patient-centered medical home
  • qualitative research

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