Interdisciplinary programmatic approaches to comprehensive distress screening for implementing the quality care standard of whole-patient care

摘要

Recognition of psychosocial distress as part of the cancer journey is one of the most significant developments in cancer control in the twenty-first century. For example, it has been >30 years since Weisman and Worden (Worden & Weisman, 1980; 1984) described the emotional distress of patients diagnosed with cancer, distress that they described as heightened during the days of diagnosis and early treatment. And it has been >15 years since the National Comprehensive Cancer Network's (NCCN) Distress Management Clinical Practice Guidelines have called for comprehensive distress screening of all patients with cancer (National Comprehensive Cancer Network, 2003). Adoption of these guidelines into everyday clinical practice, however, has been slow.