The panel of experts endorsed the concept of a PSM for
early identification of breast cancer-related impairments.
Overall, the panel noted that significant disparities exist in
referral patterns for physical rehabilitation and that a concerted,
streamlined method is needed to remedy this.
Major areas of discussion on elements of the model
included: facilitation of early identification of impairments and reduced time to rehabilitation intervention;
inclusion of all breast cancer patients versus those at
high risk for impairment; patient burden; facilitation of
exercise; provision of evidence-based patient education;
provider barriers and potential cost impact