Abstract
The Cancer Survivorship Care Plans (SCP) aim to organize the post-cancer care and to give a new prominence to out-of-hospital health professionals. The structured follow-up (FU) based on a determined schedule is able to help professionals to comply with good practices and women to be regularly followed. Nowadays, the implementation of the SCP has been of limited scale and generally SCP are conceived without the inputs of non-hospital physicians. No assessment has been yet performed. Based on our more than 10 years experience of breast cancer patients FU in the network Gynecomed, we consider that the SCP improve the monitoring after cancer if a real cooperation has been set up between hospital and out-of-hospital physicians. This implies a co-construction FU process, a shared protocol, a mutual training process, a recall procedure, an information system between in and out hospital professionals allowing to discuss individual cases.
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