Key success factors for implementation of personalized program after cancer treatment [Programme personnalisé de l'après cancer (PPAC) Quels sont les facteurs clés de succès de sa mise en oeuvre?]

摘要

The second Cancer Plan launched in November 2009 by the INCa emphasizes the desire to not only strengthen the support for cancer patients during the active phase of treatment but also develop a Personalized care Program for After Cancer treatment (PPAC). This program, designed to fit into the continuity of the Personalized Care Program (PCP), is elaborated jointly by cancer specialists and general practitioners before being explained and given to patients at the end of the active therapy period. The approach, innovative and new for many health care stakeholders, aims at several goals: to ensure the best possible care for patients in terms of monitoring and evaluation of risk of relapse as well as in preventing the risk of second cancer and taking into consideration social aspects. In this context, the implementation of the PPAC needs to follow several steps: build the content, define a format and design thatmeet the requirements defined by the INCa and fulfill the expectations of all health care stakeholders including, in particular, general practitioners, who are at the heart of this program. However, beyond content and format, the modalities of PPAC implementation represent the most critical step. Success will depend upon physicians' involvement and commitment in carrying the processes, the proper definition of responsibilities, the fulfillment of health care stakeholders' expectations, the short- and long-term quality of follow-up, the proper management of changes induced by the PPAC as well as its monitoring and assessment. Success requires that we get commitment, listen, convince, respect but not impose.