Differences Between Primary Care Physicians’ and Oncologists’ Knowledge, Attitudes and Practices Regarding the Care of Cancer Survivors
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The growing number of cancer survivors combined with a looming shortage of oncology specialists will require greater coordination of post-treatment care responsibilities between oncologists and primary care physicians (PCPs). However, data are limited regarding these physicians’ views of cancer survivors’ care.
To compare PCPs and oncologists with regard to their knowledge, attitudes, and practices for follow-up care of breast and colon cancer survivors.
Design and Subjects
Mailed questionnaires were completed by a nationally representative sample of 1,072 PCPs and 1,130 medical oncologists in 2009 (cooperation rate = 65%). Sampling and non-response weights were used to calculate estimates to reflect practicing US PCPs and oncologists.
PCPs and oncologists reported their 1) preferred model for delivering cancer survivors’ care; 2) assessment of PCPs’ ability to perform follow-up care tasks; 3) confidence in their knowledge; and 4) cancer surveillance practices.
Compared with PCPs, oncologists were less likely to believe PCPs had the skills to conduct appropriate testing for breast cancer recurrence (59% vs. 23%, P < 0.001) or to care for late effects of breast cancer (75% vs. 38%, P < 0.001). Only 40% of PCPs were very confident of their own knowledge of testing for recurrence. PCPs were more likely than oncologists to endorse routine use of non-recommended blood and imaging tests for detecting cancer recurrence, with both groups departing substantially from guideline recommendations.
There are significant differences in PCPs’ and oncologists’ knowledge, attitudes, and practices with respect to care of cancer survivors. Improving cancer survivors’ care may require more effective communication between these two groups to increase PCPs’ confidence in their knowledge, and must also address oncologists’ attitudes regarding PCPs’ ability to care for cancer survivors.
- Differences Between Primary Care Physicians’ and Oncologists’ Knowledge, Attitudes and Practices Regarding the Care of Cancer Survivors
Journal of General Internal Medicine
Volume 26, Issue 12 , pp 1403-1410
- Cover Date
- Print ISSN
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- Additional Links
- cancer care
- cancer survivorship
- physician survey
- physician attitudes
- Industry Sectors
- Author Affiliations
- 1. Lombardi Comprehensive Cancer Center, Cancer Control Program, Georgetown University Medical Center, 3300 Whitehaven St. NW Suite 4100, Washington, DC, 20007, USA
- 2. Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, ME, USA
- 3. Office of Cancer Survivorship, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA
- 4. Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA
- 5. Behavioral Research Center, Intramural Research Department, American Cancer Society, Atlanta, GA, USA
- 6. National Institute of Nursing Research, Bethesda, MD, USA
- 7. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada
- 8. Division of General Medicine, Brigham and Women’s Hospital; Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
- 9. Schools of Public Health and Medicine, Jonsson Comprehensive Cancer Center, University of California, Los Angeles, CA, USA
- 10. Rollins School of Public Health, Emory University, Atlanta, GA, USA