School of Nursing
Doctor of Nursing Practice (DNP)
Dorothy L. Murphy
Oncology, Fragmented Care, Rural, Care Coordination
Fulmer, Andrea Nicole, "Determining the Effectiveness of System-Based Solutions to Improve Fragmented Care for Oncology Patients Living in Rural and Remote Regions: An Integrative Review" (2020). Doctoral Dissertations and Projects. 2675.
The purpose of this integrative review is to review, critique, and synthesize the current literature to determine the state of the science related to the established systems approach for improving healthcare management and care coordination of the oncology patient population in rural and remote regions. The oncology patient population with co-existing chronic disease living in rural and remote regions experience fragmented health care. New cancer diagnoses take precedence over other existing comorbidities and require focused and specialized care for lengthy periods of time. Research is significantly limited for the current state of science for the identified patient population living in rural areas, and there are substantial gaps in care coordination via established systems approaches.