IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i9p3241-d354562.html
   My bibliography  Save this article

The Emergence of a Sustainable Tobacco Treatment Program across the Cancer Care Continuum: A Systems Approach for Implementation at the University of California Davis Comprehensive Cancer Center

Author

Listed:
  • Elisa K. Tong

    (Department of Internal Medicine, University of California, Davis, Sacramento, CA 95817, USA)

  • Terri Wolf

    (Comprehensive Cancer Center, University of California, Davis, Sacramento, CA 95817, USA)

  • David T. Cooke

    (Department of Surgery, University of California, Davis, Sacramento, CA 95817, USA)

  • Nathan Fairman

    (Comprehensive Cancer Center, University of California, Davis, Sacramento, CA 95817, USA)

  • Moon S. Chen

    (Comprehensive Cancer Center, University of California, Davis, Sacramento, CA 95817, USA)

Abstract

Tobacco treatment is increasingly recognized as important to cancer care, but few cancer centers have implemented sustainable tobacco treatment programs. The University of California Davis Comprehensive Cancer Center (UCD CCC) was funded to integrate tobacco treatment into cancer care. Lessons learned from the UCD CCC are illustrated across a systems framework with the Cancer Care Continuum and by applying constructs from the Consolidated Framework for Implementation Research. Findings demonstrate different motivational drivers for the cancer center and the broader health system. Implementation readiness across the domains of the Cancer Care Continuum with clinical entities was more mature in the Prevention domain, but Screening, Diagnosis, Treatment, and Survivorship domains demonstrated less implementation readiness despite leadership engagement. Over a two-year implementation process, the UCD CCC focused on enhancing information and knowledge sharing within the treatment domain with the support of the cancer committee infrastructure, while identifying available resources and adapting workflows for various cancer care service lines. The UCD CCC findings, while it may not be generalizable to all cancer centers, demonstrate the application of conceptual frameworks to accelerate implementation for a sustainable tobacco treatment program. Key common elements that may be shared across oncology settings include a state quitline for an adaptable intervention, cancer committees for outer/inner setting infrastructure, tobacco quality metrics for data reporting, and non-physician staff for integrated services.

Suggested Citation

  • Elisa K. Tong & Terri Wolf & David T. Cooke & Nathan Fairman & Moon S. Chen, 2020. "The Emergence of a Sustainable Tobacco Treatment Program across the Cancer Care Continuum: A Systems Approach for Implementation at the University of California Davis Comprehensive Cancer Center," IJERPH, MDPI, vol. 17(9), pages 1-16, May.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3241-:d:354562
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/9/3241/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/17/9/3241/
    Download Restriction: no
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Anaïs Besson & Alice Tarpin & Valentin Flaudias & Georges Brousse & Catherine Laporte & Amanda Benson & Valentin Navel & Jean-Baptiste Bouillon-Minois & Frédéric Dutheil, 2021. "Smoking Prevalence among Physicians: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(24), pages 1-58, December.
    2. Chineme Enyioha & Graham W. Warren & Glen D. Morgan & Adam O. Goldstein, 2020. "Tobacco Use and Treatment among Cancer Survivors," IJERPH, MDPI, vol. 17(23), pages 1-7, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3241-:d:354562. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.