Will Evidence-Based Patient-Centred Care Meet the Future Inter-Generational Needs of Older Adults with Cancer? A Diverse Perspective
This peer-reviewed article published in Journal of Geriatric Oncology examines evidence-based patient-centred care (EBPCC) effectiveness for older adults with cancer from both clinician and patient perspectives, with focus on inter-generational aspects. Authored by multidisciplinary international team including Raymond Gardner, Nicol`o Matteo Luca Battisti, Beverly Canin, and Antonella Cardone (Cancer Patients Europe), the paper analyzes how EBPCC—combining evidence-based practice (EBP) with patient-centred care (PCC)—facilitates shared decision-making but may not fulfill all older adults’ healthcare expectations. Article examines generational characteristics: Silent Generation (born 1928-1945) prefers “clinician decision” care with cautious risk-averse approach; Baby Boomers (born 1945-1965) embrace “patient involvement” seeking dialogue and challenging clinicians; Gen-X adults (entering older adult cohort in 2030) will expect “technology-driven” care with AI-enhanced information. Paper evaluates cancer clinical pathway preparedness to meet future heterogenous population needs, discusses comorbidity challenges (two-thirds have at least one comorbidity), proposes patient-centric holistic care (PCHC) model expanding beyond cancer-focused EBPCC to address “What matters most to you?” question, and examines emerging challenges including AI/equipment technology impacts, information technology role, supportive care services, clinical trial complexities, awareness needs, health/geographic/racial/ethnic inequities, health economics considerations, ageism, and patient advocacy development. Concludes that holistic approach adaptable to technology developments, new treatments, clinical practice improvements and Gen-X expectations is urgently needed.