Care in Chapter 4). Group participants noted that demonstration projects are needed to evaluate alternate strategies for care planning. Ms. Pamela Haylock mentioned the American College of Surgeons’ Commission on Cancer surveys as an opportunity to assess care planning in hospital-based cancer programs. As an overarching goal, reeducation of both oncology and primary care physicians is needed for cancer to be considered a chronic illness.

From a pediatric perspective, Dr. Jackie Casillas, from the University of California, Los Angeles, pointed out that survivors of childhood cancer face an additional barrier posed by the transition from pediatric to adult health care. A care plan may be given to the parent in the pediatric setting. An adolescent or young adult may, however, lose touch with their pediatric oncology providers as they age into adult care settings. They also need to have received a copy of the cancer care records from their parents, as they may not be able to recall any of the specifics related to their diagnosis and treatment.