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The study details stakeholder engagement across a university comprehensive cancer center and a federally qualified health center to inform implementation and sustainability of community-focused cancer care coordination interventions for underserved patients. Using systematic, iterative, and trust-building methods, researchers identified clinical (N=43) and patient (N=16) stakeholders and their needs through interviews and focus groups, then planned and evaluated bi-directional information-sharing and navigation strategies with primary and oncology 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\nHealth Equity  \n| ORIGINAL RESEARCH Open Access |\n| --- |\n| Using Stakeholder Engagement to Build Cancer Survivorship Care Coordination Capacity Between Primary and Oncology Care\u003Cbr>Julie S. Armin,1,* Sarah N. Price Elizabeth S. Ver Hoeve Yvonne Bueno Leila Ali-Akbarian,1 Nancy Johnson Elizabeth Calhoun Lorena Verdugo,7 and Heidi A. Hamann8 |\n|  |\n| Abstract |\n| Introduction: Cancer survivors experience gaps in access to timely and well-coordinated care. We describe stakeholder engagement activities across a university-based comprehensive cancer center and a primary care-focused federally qualified health center, which informed implementation and sustainability of community-focused cancer care coordination interventions to optimize care for underserved cancer patients in specialty and primary care. Methods: Methods were systematic, iterative, and flexible to establish and maintain trust, honesty, and collaborative decision-making between academic, community, and clinical partners. First, we collaboratively identified clinical (N = 43) and patient (N = 16) stakeholders and their needs through in-depth interviews and focus groups. Then, we planned, implemented, evaluated, and modified strategies to improve cancer care coordination in response to challenges and new information.\u003Cbr>Results: Primary care providers reported needing more information about cancer survivorship care and wanting more complete information about their patients’ cancer treatment. Patients described concerns about cancer recurrence, challenges managing comorbid conditions, and economic concerns. These findingsinfluenced the focus and implementation of a community navigation program at the academic cancer center and informed bi-directional information-sharing interventions with primary and oncology care partners, which included face-to-face meetings, service-learning opportunities, and improving data transmission through the electronic health record.\u003Cbr>Health Equity Implications: Health systems’ mutual learning and resource sharing enhance patient cancer care coordination to address social determinants of health. Engaging partners at different levels within health systems (e. g., administrative staff and clinical leadership) ensures sustainability of relationships, interventions, and advocacy for cancer patients with significant social needs.\u003Cbr>Keywords: cancer disparities; community-based research; cancer navigation; underserved patients |\n\n1Department of Family & Community Medicine, The University of Arizona College of Medicine, Tucson, Arizona, USA.  \n2Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.  \n3Departments of Psychiatry and Family Medicine and Community Health, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA. 4LeCroy & Milligan Associates, Inc., Tucson, Arizona, USA.  \n5University of Arizona Health Sciences, The University of Arizona, Tucson, Arizona, USA.  \n6University of Illinois Chicago, Chicago, Illinois, USA.  \n7El Rio Community Health Center, Tucson, Arizona, USA.  \n8Department of Psychology, The University of Arizona, Tucson, Arizona, USA.  \n*Address correspondence to: Julie S. Armin, PhD, Department of Family & Community Medicine, The University of Arizona College of Medicine, 655 N. Alvernon Way, Ste. 228, Tucson, AZ 85711, USA, [E-mail:](E-mail: jarmin@arizona.edu)[ jarmin@arizona.edu](E-mail: jarmin@arizona.edu)  \nª The Author(s) 2025. Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License [CC-BY]([http://creativecommons.org/licenses/by/4.0](http://creativecommons.org/licenses/by/4.0)), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.  \n648  \nArmin, et al.; Health Equity 2025, 9.1 649 ","cbCaioMfu1pTsDyu","https://ap.wps.com/l/cbCaioMfu1pTsDyu","pdf",991348,"English","# Abstract\n## Introduction\n## Methods\n## Results\n## Health Equity Implications\n## Keywords","[{\"question\":\"What problem does the study address for cancer survivors?\",\"answer\":\"Cancer survivors experience gaps in access to timely and well-coordinated care, particularly after active treatment, with challenges in both specialty and primary care settings.\"},{\"question\":\"How were stakeholders involved in the intervention design?\",\"answer\":\"Researchers used systematic, iterative engagement methods to build trust and collaborative decision-making, identifying clinical and patient stakeholders through in-depth interviews and focus groups.\"},{\"question\":\"What did the findings show about information and support needs?\",\"answer\":\"Primary care providers wanted more complete information about patients’ cancer treatment, while patients raised concerns about recurrence, managing comorbid conditions, and economic barriers.\"}]","Using Stakeholder Engagement to Build Cancer Survivorship Care Coordination Capacity Between Primary and Oncology Care | PDF",1790616262,23]