{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T19:27:59Z","timestamp":1770060479908,"version":"3.49.0"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T00:00:00Z","timestamp":1649894400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Provision of psychosocial care is obligatory in cancer centers certified in accordance with the criteria of the German Cancer Society, but the extent to which it is utilized differs greatly between centers. Anomalous utilization percentages are discussed during certification audits. This analysis aims to describe (1) how certified centers explain psychosocial care utilization percentages during audits and (2) the measures they then plan for improving psychosocial care utilization. The aim of the analysis is to help understand patterns of psychosocial care utilization in oncology and reduce potential disparities by describing the challenges that cancer centers face and their strategies for integrating psychosocial care into routine oncological care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The content of free\u2010text comments regarding psychosocial utilization percentages by certified centers during certification audits in 2019 was analyzed. In total, 178 comments were analyzed from 116 prostate, colorectal, and breast cancer centers in Germany, Switzerland, Austria, Italy, and Luxembourg.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The explanations for utilization percentages most often mentioned involved patients' levels of interest and need, outpatient care, staff shortages, inclusion of psychosocial care in other processes in the center, documentation issues, and factors regarding different legal regulations in countries outside Germany. The measures most often planned for improving psychosocial care utilization involved adjusting work processes, increasing staff resources, optimizing documentation, and establishing quality\u2010assurance groups\/task forces.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This exploratory analysis shows that the challenges and strategies involved in incorporating psychosocial care into routine oncological care are diverse. Further research should identify process\u2010level strategies that can promote the integration of psychosocial care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.5933","type":"journal-article","created":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T13:09:55Z","timestamp":1648645795000},"page":"1331-1339","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Incorporating psychosocial care into routine oncological care: Insights into challenges and strategies from certified cancer centers' audit data"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1357-472X","authenticated-orcid":false,"given":"Clara","family":"Breidenbach","sequence":"first","affiliation":[{"name":"German Cancer Society  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7438-4321","authenticated-orcid":false,"given":"Christoph","family":"Kowalski","sequence":"additional","affiliation":[{"name":"German Cancer Society  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8628-7166","authenticated-orcid":false,"given":"Lena","family":"Ansmann","sequence":"additional","affiliation":[{"name":"Carl von Ossietzky Universit\u00e4t Oldenburg  Oldenburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Schult","sequence":"additional","affiliation":[{"name":"German Cancer Society  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nora Tabea","family":"Sibert","sequence":"additional","affiliation":[{"name":"German Cancer Society  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingo","family":"Neupert","sequence":"additional","affiliation":[{"name":"Hochschule RheinMain I Fachbereich Sozialwesen  Wiesbaden Germany"},{"name":"Arbeitsgemeinschaft f\u00fcr Soziale Arbeit in der Onkologie (ASO)  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5069-7278","authenticated-orcid":false,"given":"Tanja","family":"Zimmermann","sequence":"additional","affiliation":[{"name":"Hannover Medical School  Hannover Germany"},{"name":"Arbeitsgemeinschaft f\u00fcr Psychoonkologie in der Deutschen Krebsgesellschaft e. 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