Patient, Primary Care Physician and Specialist Expectations of Primary Care Physician Involvement in Cancer Care
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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.
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.
Canadian survey of lung cancer patients, PCPs and cancer specialists
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.
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.
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.
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- Patient, Primary Care Physician and Specialist Expectations of Primary Care Physician Involvement in Cancer Care
Journal of General Internal Medicine
Volume 27, Issue 1 , pp 8-15
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- primary care
- cancer care follow-up
- practice patterns
- health care delivery
- Industry Sectors
- Michèle Aubin MD, PhD, CCFP, FCFP (1) (2) (3) (4)
- Lucie Vézina MA (4)
- René Verreault MD, PhD (1) (5)
- Lise Fillion Inf, PhD (3) (6)
- Éveline Hudon MD, MSc, CCFP, FCFP (7)
- François Lehmann MD, CCFP, FCFP (7)
- Yvan Leduc MD, PhD, CCFP, FCFP (2)
- Rénald Bergeron MD, CCFP, FCFP (2) (4)
- Daniel Reinharz MD, PhD (5)
- Diane Morin Inf, PhD (6) (8)
- Author Affiliations
- 1. Research Unit of the Quebec Center of Excellence on Aging, 2690, chemin des Quatre-Bourgeois, Quebec, QC, Canada, G1V 0B7
- 2. Department of Family Medicine and Emergency Medicine, Université Laval, 2690, chemin des Quatre-Bourgeois, Quebec, QC, Canada, G1V 0B7
- 3. Maison Michel-Sarrazin Research Team in Palliative Care, 2690, chemin des Quatre-Bourgeois, Quebec, QC, Canada, G1V 0B7
- 4. Laval Family Medicine Unit, Université Laval, 2690, chemin des Quatre-Bourgeois, Quebec, QC, Canada, G1V 0B7
- 5. Department of Social and Preventive Medicine, Université Laval, Quebec, QC, Canada
- 6. Faculty of Nursing, Université Laval, Quebec, QC, Canada
- 7. Department of Family Medicine, Université de Montréal, Quebec, QC, Canada
- 8. Institut universitaire de formation et de recherche en soins - IUFRS, Lausanne, Switzerland