Follow-up Care Delivery Among Colorectal Cancer Survivors Most Often Seen by Primary and Subspecialty Care Physicians
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The Institute of Medicine has identified patients as a key source of information for assessing the quality of care.
To evaluate the association of physician specialty with the content and quality of follow-up cancer care.
Design and Participants
Three hundred three colorectal cancer (CRC) survivors in Northern California were surveyed 2–5 years post-diagnosis.
Specialty of physician seen most often [primary care physician (PCP), oncologist, surgeon, or gastroenterologist]; other physician specialties seen; patient characteristics; content of visits; patient-centered quality of follow-up care (communication, coordination, nursing, and staff interactions).
A minority (16%) of CRC survivors reported that the doctor they most often saw for follow-up cancer care was a PCP, while 60% saw an oncologist. Many CRC survivors (40%) saw >1 physician for follow-up cancer care. Survivors most often seen by PCPs were more likely to have three or more medical comorbidities (70% vs. 51%, p = 0.012) than survivors seen by subspecialty physicians. Survivors seen by PCPs were less likely to report seeing a doctor for medical tests and more likely to report discussing disease prevention (82% vs. 64%, p = 0.012) or diet (70% vs. 48%, p = 0.005) with their doctor. There were no significant specialty differences in patient-centered quality of follow-up cancer care.
Cancer survivors’ assessment of the quality of care was similar across specialties, while the content of follow-up cancer care varied by physician specialty. These findings provide important information about the potential value of primary care and the need for coordination when delivering care to CRC survivors.
- Follow-up Care Delivery Among Colorectal Cancer Survivors Most Often Seen by Primary and Subspecialty Care Physicians
Journal of General Internal Medicine
Volume 24, Issue 2 Supplement, pp 472-479
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- cancer survivorship
- colorectal cancer
- primary care
- health services research
- quality assessment
- patient-centered care
- Industry Sectors
- Author Affiliations
- 1. VA Health Services Research & Development (HSR&D) Center on Implementing Evidence-based Practice (CIEBP), Richard L. Roudebush VA Medical Center, 1481 West 10th St. (11H), Indianapolis, IN, 46202, USA
- 2. IU Center for Health Services and Outcomes Research (CHSOR), Regenstrief Institute, Inc., Indianapolis, IN, USA
- 3. Division of General Internal Medicine and Geriatrics, Department of Medicine, Indiana University School of Medicine (IUSM), Indianapolis, IN, USA
- 4. Indiana University Simon Cancer Center, Indianapolis, IN, USA
- 5. Outcomes Research Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA
- 6. Division of Hematology/Oncology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA
- 7. The Charles Warren Fairbanks Center for Medical Ethics, Clarian Health, Inc., Indianapolis, IN, USA
- 8. The Indiana University Center for Bioethics, Indiana University, Indianapolis, IN, USA
- 10. Robert H. Lurie Comprehensive Cancer Center, Chicago, IL, USA
- 9. Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- 11. Northern California Cancer Center, Fremont, CA, USA