Article

Barriers to the provision of evidence-based psychosocial care in oncology.

Peter MacCallum Cancer Centre, St Andrews Place, East Melbourne, Victoria, Australia.
Psycho-Oncology (impact factor: 3.34). 11/2006; 15(10):863-72. DOI:10.1002/pon.1017 pp.863-72
Source: PubMed

ABSTRACT Meeting the psychological, social and physical needs of people with cancer is a challenge for individual health practitioners, health administrators and health policy makers. However, there is a considerable gap between recommended best-evidence psychosocial and supportive care and actual practice. This paper provides a discussion of the reasons for this gap using the precede-proceed model as a theoretical framework. The model is a useful way of classifying potential barriers to the application of recommended best practice into three categories: predisposing factors which influence motivation to behave in a particular way, enabling factors which facilitate the enactment of the behaviour and reinforcing factors which increase the likelihood that the behaviour will be maintained over time. Ways of addressing these barriers are proposed and discussed.

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Keywords

actual practice
 
barriers
 
best-evidence psychosocial
 
classifying potential barriers
 
considerable gap
 
enactment
 
health administrators
 
health policy makers
 
individual health practitioners
 
influence motivation
 
precede-proceed model
 
social
 
supportive care
 
useful way
 

Penelope Schofield