Beyond Survival: Enhancing Patient Experience and Mental Health through Continuity of Care in Oncology

Document Type : Review Article

Authors

1 Department of Food Hygiene, University of Tehran, Tehran, Iran

2 Department of Pedagogy and Psychology,Urgench State University,Urgench, Uzbekistan

3 Department of Psychological Sciences, Mamun University, Khiva, Uzbekistan

4 Department of Medicine,Urgench Mamun University,Urgench, Uzbekistan

5 Department of Clinical Subjects,Tashkent State Medical University,Tashkent, Uzbekistan

6 Department of Psychology,Mamun University, Khiva, Uzbekistan

7 Department of Medicine,Urgench Mamun University, Urgench, Uzbekistan

Abstract
Background: Although oncology traditionally emphasizes survival rates, the patient's journey is deeply influenced by their subjective experience and psychological state. Continuity of Care (CoC)—the consistent, coordinated, and unified management of care over time—is increasingly recognized as a vital element that extends beyond its possible effects on mortality.
Objective: This review consolidates current research to explore how CoC affects patient-reported experience measures (PREMs) and mental health results in individuals with cancer.
Methods: A systematic search of databases (including PubMed, PsycINFO, CINAHL) was performed for studies published from 2000 to 2024. Search terms comprised "continuity of care," "cancer," "oncology," "patient experience," "quality of life," "anxiety," "depression," "care coordination," and "therapeutic alliance."
results: Substantial evidence shows that greater CoC is reliably linked to better patient experiences, including enhanced communication, trust, and security. Additionally, CoC serves as an important protective factor against psychological illness, lowering anxiety, depression, and sensations of abandonment, especially during care transitions and survivorship.
Conclusion: CoC is a core, adjustable component of quality cancer care that directly improves patients' care experiences and protects their mental health. Emphasizing CoC through intentional models and policies is crucial for realizing genuinely patient-focused oncology.

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