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Building the plane while it's flying: implementation lessons from integrating a co-located exercise clinic into oncology care.

Mary A KennedySara H BaresRobert U NewtonYvonne ZissiadisNigel A SpryDennis R TaaffeNicolas H HartDaniel A Galvão
Published in: BMC health services research (2022)
Integration of exercise into standard oncology care is possible, but it requires the ongoing commitment of multiple stakeholders across an organisation. The integrated workflow and supporting implementation plan greatly improved utilisation of the co-located exercise service, demonstrating the importance of targeted implementation planning. However, challenges regarding workflow fidelity within and across sites limited its success highlighting the complexities inherent in integrating exercise into clinical oncology care in a real-world setting.
Keyphrases
  • healthcare
  • palliative care
  • quality improvement
  • high intensity
  • primary care
  • physical activity
  • resistance training
  • mental health
  • affordable care act
  • electronic health record
  • body composition