Table 4. Systematic efforts for follow-up cancer care in general practice, reported by the GPs (n = 173)
Yes, n (%)No, n (%)
Has your practice introduced systematic efforts for patients with cancer?49 (28.3)124 (71.7)
Quotes from the GPs describing the systematic efforts
  • 'We write a letter/e-mail or call the patient, when we become aware of the diagnosis. Always offers time for follow-up in general practice. In the event of non-appearance, we give the patient a call.

  • 'Instructions phrased approximately: the one who reads the discharge summary/correspondence and becomes aware that a patient has been diagnosed with cancer or [their cancer has been diagnosed as terminal], puts a reminder on the calendar of the usual GP. This GP then contacts the patient and clarifies whether there is a need for follow-up now or later and evaluate the resources around the patient.’

  • ‘A list of cancer patients, which is reviewed every six months.

  • ‘Letter to the patient that we know they have been diagnosed with cancer and that they can contact us in need of help. If we have not heard from them, we call them after one month.’

  • ‘Either a standard letter (adjusted Danish Society of General Practice template) or a call, depending on previous knowledge of the patient. However, it varies when in a cancer course, the contact is established.’

  • ‘We either call or write to patients with newly diagnosed cancer, and follow-up on the cancer patients we already know.’

  • ‘As soon as I see in a discharge summary that a patient has been diagnosed with cancer, I send a letter, with an invitation to a conversation together with relatives, either at home or in the clinic.’

  • ‘We call the patients, when we see a discharge summary with a newly diagnosed cancer, change to palliative care treatment, or information that the cancer has metastasised.’

  • ‘I contact them by email. In that way they can read the email when they have the time and surplus energy and write me back, when they can handle it. Unfortunately, I have just found out that you are not allowed to do that. At least one must not charge a fee for it. However, I still believe that regular follow-up is the right thing to do. Then I must just waive the fee.’

  • 'A palliation list, which is reviewed by the nurse, followed by phone calls and/or written offers of a consultation or visit.

  • ‘In relation to diagnosis, we always send a letter inviting the patient to take contact when needed and inform that we follow their treatment at the hospital “from behind the scenes”.’