Patient, primary care physician and specialist expectations of primary care physician involvement in cancer care.

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State: Public
Version: Final published version
Serval ID
serval:BIB_AB40916176BF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Patient, primary care physician and specialist expectations of primary care physician involvement in cancer care.
Journal
Journal of General Internal Medicine
Author(s)
Aubin M., Vézina L., Verreault R., Fillion L., Hudon E., Lehmann F., Leduc Y., Bergeron R., Reinharz D., Morin D.
ISSN
1525-1497 (Electronic)
ISSN-L
0884-8734
Publication state
Published
Issued date
01/2012
Peer-reviewed
Oui
Volume
27
Number
1
Pages
8-15
Language
english
Notes
Publication types: Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't Publication Status: ppublish
Abstract
BACKGROUND: In Canada, many health authorities recommend that primary care physicians (PCP) stay involved throughout their patients' cancer journey to increase continuity of care. Few studies have focused on patient and physician expectations regarding PCP involvement in cancer care.
OBJECTIVE: To compare lung cancer patient, PCP and specialist expectations regarding PCP involvement in coordination of care, emotional support, information transmission and symptom relief at the different phases of cancer.
DESIGN: Canadian survey of lung cancer patients, PCPs and cancer specialists
PARTICIPANTS: A total of 395 patients completed questionnaires on their expectations regarding their PCP participation in several aspects of care, at different phases of their cancer. Also, 45 specialists and 232 community-based PCP involved in these patients' care responded to a mail survey on the same aspects of cancer care.
RESULTS: Most specialists did not expect participation of the PCP in coordination of care in the diagnosis and treatment phases (65% and 78% respectively), in contrast with patients (83% and 85%) and PCPs (80% and 59%) (p < 0.0001). At these same phases, the best agreement among the 3 groups was around PCP role in emotional support: 84% and more of all groups had this expectation. PCP participation in symptom relief was another shared expectation, but more unanimously at the treatment phase (p = 0.85). In the advanced phase, most specialists expect a major role of PCP in all aspects of care (from 81% to 97%). Patients and PCP agree with them mainly for emotional support and information transmission.
CONCLUSION: Lung cancer patient, PCP and specialist expectations regarding PCP role differ with the phase of cancer and the specific aspect of cancer care. There is a need to reach a better agreement among them and to better define PCP role, in order to achieve more collaborative and integrated cancer care.
Keywords
Adult, Aged, Attitude of Health Personnel, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Neoplasms/diagnosis, Neoplasms/psychology, Patient Care/methods, Patient Care/psychology, Physician-Patient Relations, Physicians, Primary Care/psychology, Prospective Studies, Specialization
Pubmed
Web of science
Create date
26/09/2011 14:15
Last modification date
20/08/2019 16:15
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