Perceptions and practice patterns of post-treatment cancer survivorship care among Filipino oncologists: A mixed methods study.

512 Background: With improving global cancer survival, the need for structured survivorship care is increasingly critical. In the Philippines, the National Integrated Cancer Control Act (NICCA) mandates comprehensive cancer services, including survivorship care. However, implementation remains inconsistent and often depends on individual oncologists. This study assessed the perceptions, confidence, and practice patterns of Filipino oncologists in providing survivorship care and identified key barriers and facilitators to guide quality improvement. Methods: We conducted a cross-sectional, mixed-methods survey of Filipino medical, radiation, and surgical oncologists using a validated instrument adapted from Chan et al. The survey evaluated four domains of survivorship care: surveillance, prevention, intervention, and coordination. Participants rated their perceived responsibility (5-point Likert scale), confidence (0–10 scale), and frequency of care delivery (4-point scale). We analyzed correlations using Pearson coefficients and thematically analyzed open-ended responses to identify barriers and facilitators. Results: A total of 156 oncologists participated (30.8% response rate), most of whom were early-career medical oncologists (1–5 years in practice) working in private, metropolitan institutions. Over half (53%) reported no formal survivorship care programs in their institutions. Respondents strongly agreed that survivorship care was part of their role (mean 4.55/5) and expressed moderate to high confidence in providing it (mean 7.64/10). They delivered survivorship care occasionally to frequently (mean 2.91/4). While recurrence surveillance was routine, they infrequently addressed psychosocial support, lifestyle counseling, and sexual health. No demographic or practice-related factors were significantly associated with care provision. Perceived responsibility positively correlated with confidence (r = 0.300, p = 0.0001) and care frequency (r = 0.281, p = 0.0004). Oncologists cited barriers such as lack of formal programs, limited training and resources, socioeconomic and logistical challenges, stigma, and misinformation. Facilitators included commitment to patient-centered care, improved coordination, financial support, and enabling policies. Conclusions: Despite recognizing survivorship care as part of their role, many oncologists struggle to deliver it consistently. Confidence significantly influences care provision. Addressing systemic and patient-level barriers while strengthening facilitators is vital to improving survivorship care in the Philippines. These findings support targeted quality improvement and policy efforts in resource-limited settings.