{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:04:55Z","timestamp":1785416695254,"version":"3.56.0"},"reference-count":75,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Canadian Partnership Against Cancer Corporation","award":["#13254"],"award-info":[{"award-number":["#13254"]}]},{"award":["#13254"],"award-info":[{"award-number":["#13254"]}],"id":[{"id":"https:\/\/ror.org\/0488wxv90","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>The Canadian cancer care landscape faces rising cancer incidence, persistent inequities, and increasing system pressures. Led by the Canadian Association of Provincial Cancer Agencies (CAPCA), this scoping review applied an implementation science lens to evaluate the scalability of innovative cancer care models across Canada. Using a mixed-methods design, innovations were identified through a scoping review (n = 42), grey literature analysis (&gt;50), a pan-Canadian survey (n = 72), and key informant interviews (n = 24). Guided by the Consolidated Framework for Implementation Research (CFIR), this review assessed feasibility, barriers, and facilitators influencing adoption and scale-up of identified innovations. Results revealed widespread adoption across various domains including virtual oncology, artificial intelligence (AI)-driven tools, and expansion of team-based care. At-home models, including home infusion, palliative care, and pharmacist-led chronic disease clinics, demonstrated improved access, patient satisfaction, and reduced hospital burden. CFIR mapping revealed cross-cutting facilitators including strong stakeholder engagement, structured training, and demonstrated patient benefits. However, persistent barriers include regulatory variability, funding instability, digital infrastructure gaps, and workforce capacity constraints. This paper highlights implemented innovations in cancer care and identifies strategic scaling opportunities needed to ensure all people living in Canada benefit from high-quality, person-centred equitable cancer care.<\/jats:p>","DOI":"10.3390\/curroncol33070395","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T10:41:01Z","timestamp":1782902461000},"page":"395","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Scoping Review of Implemented Innovations in Cancer Care: Implications for Pan-Canadian Scaling"],"prefix":"10.3390","volume":"33","author":[{"given":"Tara","family":"Sampalli","sequence":"first","affiliation":[{"name":"School of Nursing, Dalhousie University, 5869 University Avenue, Halifax, NS B3H 4R2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail","family":"Tomblin Murphy","sequence":"additional","affiliation":[{"name":"School of Nursing, Dalhousie University, 5869 University Avenue, Halifax, NS B3H 4R2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8243-8721","authenticated-orcid":false,"given":"Stuart","family":"Peacock","sequence":"additional","affiliation":[{"name":"BC Cancer Research Institute, 675 West 10th Avenue, 2nd Floor, Vancouver, BC V5Z 1L3, Canada"},{"name":"Room 11300, Blusson Hall, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8792-9806","authenticated-orcid":false,"given":"Sri","family":"Navaratnam","sequence":"additional","affiliation":[{"name":"Room GC430, Health Sciences Centre, Department of Internal Medicine, University of Manitoba, 820 Sherbrook Street, Winnipeg, MB R3A 1R9, Canada"},{"name":"CancerCare Manitoba, 675 McDermot Ave, Winnipeg, MB R3E 0V9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0959-4493","authenticated-orcid":false,"given":"Danielle","family":"Domm","sequence":"additional","affiliation":[{"name":"School of Nursing, Dalhousie University, 5869 University Avenue, Halifax, NS B3H 4R2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristi","family":"MacKenzie","sequence":"additional","affiliation":[{"name":"Canadian Association of Provincial Cancer Agencies, 2020-150 King St W, Toronto, ON M5H 1J9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"ref_1","unstructured":"CPAC (2025, June 24). 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