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The Role of General Practitioners in Cancer Care: A Mixed Method Design

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Abstract

The aims of this study were to identify the current role of general practitioners (GP) and the unmet needs of cancer patients in primary care. First, we conducted individual interviews with 10 cancer patients. Next, we developed a questionnaire, which was distributed among cancer patients across Estonia. Altogether, 113 questionnaires were returned. We observed that while the patients were satisfied with their GP’s work, they mostly preferred to discuss cancer-related problems with oncologists. The role of GPs in regard to other diseases was perceived as very important, also patients found it relevant to consult all investigations with their primary health care physician. The main problems experienced by the patients were a lack of proper accessible information about their disease and its inadequate presentation by doctors, as well as problems with coordination between primary and secondary health care providers. In conclusion, we can say that even treatment of cancer is centralised to oncology clinics, patients also contact their GPs during cancer care. Therefore, GPs should be aware of patients’ general health and comorbid medical problems. Better communication between primary and secondary health care doctors as well as more integration of GPs in cancer care is needed.

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References

  1. McGrath P (2007) Care of the haematology patient and their family—the GP viewpoint. Aust Fam Physician 36:779–781

    PubMed  Google Scholar 

  2. Schweitzer B, Blankenstein N, Deliens L, van der Horst H (2011) Out-of-hours palliative care provided by GP co-operatives in the Netherlands: a focus group study. Eur J Gen Pract 17:160–166. doi:10.3109/13814788.2011.584182

    Article  PubMed  Google Scholar 

  3. Adams E, Boulton M, Rose P, Lund S, Richardson A, Wilson S, Watson E (2011) Views of cancer care reviews in primary care: a qualitative study. Br J Gen Pract 61:173–182. doi:10.3399/bjgp11X567108

    Article  PubMed  Google Scholar 

  4. Kendall M, Boyd K, Campbell C, Cormie P, Fife S, Thomas K, Weller D, Murray SA (2006) How do people with cancer wish to be cared for in primary care? Serial discussion groups of patients and carers. Fam Pract 23:644–650

    Article  PubMed  Google Scholar 

  5. Jiwa M, Thompson J, Coleman R, Reed M (2006) Breast cancer follow-up: could primary care be the right venue? Curr Med Res Opin 22:625–630

    Article  PubMed  Google Scholar 

  6. Khan NF, Evans J, Rose PW (2011) A qualitative study of unmet needs and interactions with primary care among cancer survivors. Br J Cancer 105:S46–51. doi:10.1038/bjc.2011.422

    Article  PubMed Central  PubMed  Google Scholar 

  7. van Roosmalen SLC, Pols AJ, Willems DL (2013) Knowledge of Dutch GPs in caring for cancer patients using oral anticancer therapy at home. Fam Pract 30:666–670. doi:10.1093/fampra/cmt047

    Article  PubMed  Google Scholar 

  8. Põlluste K, Kalda R, Lember M (2000) Primary health care system in transition: the patients’ experience. Int J Qual Health Care 12:503–509

    Article  PubMed  Google Scholar 

  9. Merilind E, Västra K, Salupere R, Kolde A, Kalda R (2014) The impact of pay-for-performance on the workload of family practices in Estonia. Qual Prim Care 22:109–114

    PubMed  Google Scholar 

  10. OECD (2014). Health at a glance: Europe 2014. OECD Publishing. Available from: http://dx.doi.org/10.1787/health_glance_eur-2014-en (Accessed Feb 2015)

  11. Haggerty JL, Roberge D, Freeman GK, Beaulieu C (2013) Experienced continuity of care when patients see multiple clinicians: a qualitative metasummary. Ann Fam Med 11:262–271. doi:10.1370/afm.1499

    Article  PubMed Central  PubMed  Google Scholar 

  12. Spratt C, Walker R, Robinson B (2004) Module A5: mixed research methods, Commonwealth of Learning

  13. Suija K, Ilves K, Ööpik P, Maaroos HI, Kalda R (2013) Patients’ experience with cancer care: a qualitative study in family practice. Eur J Gen Pract 19:111–116. doi:10.3109/13814788.2012.732568

    Article  PubMed  Google Scholar 

  14. Malterud K (2001) Qualitative research: standards, challenges, and guidelines. Lancet 358:483–488

    Article  CAS  PubMed  Google Scholar 

  15. Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3:7–101

    Article  Google Scholar 

  16. Estonian Health Insurance Fund. Family Doctors. Available from: http://www.haigekassa.ee/kindlustatule/perearstid (Accessed July 2011).

  17. Burton M, Watson M (2000) Counselling people with cancer. Wiley, England

    Google Scholar 

  18. Baile WF, Aaron J (2005) Patient-physician communication in oncology: past, present, and future. Curr Opin Oncol 17:331–355

    Article  PubMed  Google Scholar 

  19. Samant R, Aivas I, Bourques JM, Tucker T (2010) Oncology Residents’ perspectives on communication skills and shared decision making. J Cancer Educ 25:474–477. doi:10.1007/s13187-010-0094-x

    Article  PubMed  Google Scholar 

  20. Thorne S, Oliffe JL, Stajduhar KI (2013) Communicating shared decision-making: cancer patient perspectives. Patient Educ Couns 90:291–296. doi:10.1016/j.pec.2012.02.018

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors express their gratitude to the interviewed patients and to the family doctors for collaboration.

This study was financially supported by the Estonian Science Foundation (grant no. 7596) and by targeted financing (TARPO 0821).

Conflict of Interest

The authors declare no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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Correspondence to Kadri Suija.

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Suija, K., Kordemets, T., Annuk, K. et al. The Role of General Practitioners in Cancer Care: A Mixed Method Design. J Canc Educ 31, 136–141 (2016). https://doi.org/10.1007/s13187-015-0834-z

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  • DOI: https://doi.org/10.1007/s13187-015-0834-z

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