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| Scope, model and development of supportive care for cancer |
| 1Department of Gastrointestinal Surgery / Clinical Nutrition, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China; 2Tongji Hospital, Tongji Medical College, HuaZhong University of Science and Technology, Wuhan 430030, China; 3Tianjin Medical University Cancer Institute and Hospital, Tianjin 300100, China; 4Beijing Cancer Hospital, Peking University, Beijing 100142, China; 5The First Hospital of Jilin University, Changchun 130021, China |
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Abstract Abstract: Supportive care is a typical multidisciplinary model for basic cancer treatment that shares the same level importance as surgery, radiotherapy and chemotherapy. Ideally, a supportive care team consists of physicians, psychologists, pharmacists, rehabilitation therapists, religious workers, nutritionists, and nurses (acronym: PRN). Supportive care is representative for integrated medical services with care from aspects of spiritual, pharmacologic treatment, exercise, nutritional support, communication, emotion, and rehabilitation, with a acronym of SPENCER. There are three distinct models for supportive care in China, namely solo practice model, congress practice model and integrated care model. Solo practice model is the major model utilized in large-scale cancer specialized hospitals while congress practice model is often employed in general hospitals. Although integrated care may be a better direction for supportive care development, a three-in-one model may even better meet clinical need. The efficacy of supportive care is evident in various researches, and the underestimation of supportive care may be one of the reasons for the low survival rate and low quality of life among Chinese patients. Therefore, supportive care for cancer patients should be emphasized as one of the basic treatment for cancer.
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2018, Vol. 5 
