The following HTML text is provided to enhance online
readability. Many aspects of typography translate only awkwardly to HTML.
Please use the page image
as the authoritative form to ensure accuracy.
Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs
National Institutes of Health (NIH) and AHRQ should create and leadan initiative to develop a standardized, transdisciplinary taxonomy andnomenclature for psychosocial health services. This initiative shouldaim to incorporate this taxonomy and nomenclature into such databases as the National Library of Medicine’s Medical Subject Headings(MeSH), PsycINFO, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and EMBASE.
Recommendation 9: Research priorities.Organizations sponsoringresearch in oncology care should include the following areas amongtheir funding priorities:
Further development of reliable, valid, and efficient tools andstrategies for use by clinical practices to ensure that all patientswith cancer receive care that meets the standard of psychosocialcare set forth in recommendation 1. These tools and strategiesshould include
approaches for improving patient–provider communicationand providing decision support to cancer patients;
screening instruments that can be used to identify individuals with any of a comprehensive array of psychosocial healthproblems;
needs assessment instruments to assist in planning psychosocial services;
illness and wellness management interventions; and
approaches for effectively linking patients with services andcoordinating care.
Identification of more effective psychosocial services to treatmental health problems and to assist patients in adopting andmaintaining healthy behaviors, such as smoking cessation, exercise, and dietary change. This effort should include
identifying populations for whom specific psychosocial services are most effective, and psychosocial services most effective for specific populations; and
development of standard outcome measures for assessing theeffectiveness of these services.
Creation and testing of reimbursement arrangements that willpromote psychosocial care and reward its best performance.
Research on the use of these tools, strategies, and services should alsofocus on how best to ensure delivery of appropriate psychosocial services to vulnerable populations, such as those with low literacy, olderadults, the socially isolated, and members of cultural minorities.