Cancer survivorship care after curative treatment: Chinese oncology practitioners’ practices

  • Qiuping LiEmail author
  • Yi Lin
  • Yinghua XuEmail author
  • Alex Molassiotis
Original Article



To establish oncology practitioners’ perceptions of responsibility, confidence levels, and frequency of survivorship care practice in relation to the post-treatment phase of survivorship care in Mainland China; to identify factors associated with oncology practitioners’ perceptions of responsibility, confidence levels, and frequency of survivorship care practice; and to examine factors that impede the provision of quality survivorship care.


A cross-sectional survey of Chinese oncology practitioners was conducted using a test battery consisting of a self-developed information sheet, a 29-item survivorship care scale (29-SCS), and a 16-item impeding factors scale.


There were 331 participants. Mean values of the four subscales (8.87, 61.82, 18.62, and 40.49) on perceptions of responsibility were relatively higher than those of the mean values of confidence levels and frequency of survivorship care practice. Participant characteristics, including professional discipline, highest educational qualification achieved, work status, work role, and work setting, were identified as factors associated with oncology practitioners’ responsibility perceptions, confidence levels, and survivorship care practice frequency. The top three barriers to quality survivorship care perceived by participants were lack of time, an appropriate physical location, and evidence-based practice guidelines to inform survivorship care.


Findings of relatively high levels of perception of responsibility and low levels of confidence in survivorship care suggest that survivorship care is needed, with the aim of implementing oncology practitioners’ responsibility and improving their confidence in providing survivorship care in cancer practice. Future multiple levels of cooperation for overcoming barriers and implementing quality survivorship care are highly recommended.


Cancer Oncology Survivorship care Oncology practitioners Practice patterns Perspectives Barriers Mainland China 



The first author (Qiuping LI) is especially grateful to Professor Raymond Javan CHAN (School of Nursing, Queensland University of Technology) for his valuable comments on the previous version of the manuscript. The authors gratefully acknowledge the support from the related hospital and all the participants for their sharing of their experience in this study.

Author contributions

Qiuping Li: Study conception/design; data collection/analysis; drafting of manuscript.

Yi Lin and Yinghua Xu: Data collection/analysis; drafting of manuscript.

Alex Molassiotis: Critical revisions for important intellectual content.


Financial support of this study was provided by the National Natural Science Foundation of China (No. 81773297). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.


We (the authors) have full control of all primary data and agree to allow the journal to review the data if requested.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Wuxi School of MedicineJiangnan UniversityWuxiChina
  2. 2.Wuxi People’s HospitalWuxiChina
  3. 3.School of NursingThe Hong Kong Polytechnic UniversityKowloon,Hong Kong

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