Eliciting primary care and oncology provider perspectives on diabetes management during active cancer treatment.
Eliciting primary care and oncology provider perspectives on diabetes management during active cancer treatment.
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DOI：
10.1007/s00520-021-06264-z
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发表时间：
2021-11
影响因子：
3.1
通讯作者：
Pinheiro, Laura C.
中科院分区：
文献类型：
--
作者：
Cho, Jacklyn;Nilo, Daniela;Sterling, Madeline R.;Kern, Lisa M.;Safford, Monika M.;Pinheiro, Laura C.
我们试图引出初级保健提供者（pcp）和肿瘤学家的观点，关于他们对谁应该负责糖尿病管理的期望，以及癌症治疗期间糖尿病护理的沟通模式和频率。对治疗2型糖尿病癌症患者的pcp（医生和护士从业人员）和肿瘤学家进行了深入访谈。采访录音和专业转录。一个扎根的理论方法被用来分析定性数据和确定关键主题。2019年3月至7月期间采访了10名pcp和10名肿瘤学家。从我们对pcp的采访中出现了两个广泛的主题：(1)癌症患者在癌症治疗期间暂停初级保健；(2)预后较差和晚期癌症患者。以下主题从我们对肿瘤学家的采访中浮现出来：(3)照顾患有不受控制的糖尿病的癌症患者的挑战。从我们对pcp和肿瘤学家的采访中，我们发现了三个共同的主题：(4)提供各自专业之外的护理感到不舒服；(5)个性化护理计划的必要性；(6)初级和肿瘤护理之间缺乏沟通。我们的研究结果表明，在癌症治疗期间，在提供者层面存在着实现最佳糖尿病管理的实质性障碍。干预措施应优先考虑在pcp、肿瘤学家和患者护理团队的其他成员之间进行有效的沟通和教育资源，以获得最佳结果。
We sought to elicit the perspectives of primary care providers (PCPs) and oncologists regarding their expectations on who should be responsible for diabetes management, as well as communication mode and frequency about diabetes care during cancer treatment. In-depth interviews were conducted with PCPs (physicians and nurse practitioners) and oncologists who treat cancer patients with type 2 diabetes. Interviews were audio-recorded and professionally transcribed. A grounded theory approach was used to analyze the qualitative data and identify key themes. Ten PCPs and ten oncologists were interviewed between March and July 2019. Two broad themes emerged from our interviews with PCPs: (1) cancer patients pausing primary care during cancer treatments, and (2) patients with poorer prognoses and advanced cancer. The following theme emerged from our interviews with oncologists: (3) challenges in caring for cancer patients with uncontrolled diabetes. Three common themes emerged from our interviews with both PCPs and oncologists: (4) discomfort with providing care outside of respective specialty, (5) the need to individualize care plans, and (6) lack of communication across primary and oncology care. Our findings suggest that substantial barriers to optimal diabetes management during cancer care exist at the provider level. Interventions prioritizing effective communication and educational resources amongst PCPs, oncologists, and additional members of the patients’ care team should be prioritized to achieve optimal outcomes.
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影响因子：
2.5
作者：
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