Achieving a High-Quality Cancer Care Delivery System for Older Adults: Innovative Models of Care

Janet H. Van Cleave, Esther Smith-Howell, Mary D. Naylor

Research output: Contribution to journalArticle


Objectives: To examine innovative models and other research-based interventions that hold potential to assure high-quality care for the growing older adult population living with cancer as one of multiple chronic conditions. Evidence from these care delivery approaches provides a roadmap for the development of future care models. Data Sources: Published peer-reviewed literature, policy analyses, and web-based resources. Conclusion: Available evidence suggests the need for models that engage patients and their family caregivers, focus on patient's functional capacities, emphasize palliative care, and maximize the contributions of all team members. Implications for Nursing Practice: Nurses are uniquely positioned to lead or play a major role in the evolution and implementation of care models targeting older adults with cancer, but must increase their knowledge and skills related to both oncology and geriatrics to maximize their contributions.

Original languageEnglish (US)
Pages (from-to)122-133
Number of pages12
JournalSeminars in Oncology Nursing
Issue number2
StatePublished - May 1 2016



  • Aging
  • Cancer
  • Chronic illness
  • Evidence-based
  • Model
  • Nurse-led

ASJC Scopus subject areas

  • Oncology(nursing)

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