"When patients have cancer, they stop seeing me"--the role of the general practitioner in early follow-up of patients with cancer--a qualitative study.
"When patients have cancer, they stop seeing me"--the role of the general practitioner in early follow-up of patients with cancer--a qualitative study.
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DOI：
10.1186/1471-2296-7-19
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发表时间：
2006-03-21
影响因子：
2.9
通讯作者：
Mikalsen, Hege
中科院分区：
文献类型：
--
作者：
Anvik, Tor;Holtedahl, Knut A;Mikalsen, Hege
背景：全科医生(GP)在癌症随访中的作用尚不明确。我们希望从患者、他们的亲属和他们的全科医生的角度来描述和分析全科医生在最近治疗的癌症患者的初始随访中的作用。方法：一个焦点小组访谈来自博多市的6名全科医生，以及来自挪威北部特罗姆索市的17名全科医生的个人访谈。对1999年10月至2000年9月期间来自特罗姆索的91名癌症患者及其亲属的两份问卷的文字访谈和自由文本评论进行了文本分析。结果：从患者参与、治疗癌症和治疗患者、时间和可及性、能力限制以及全科医生和医院合作五个主要方面讨论了全科医生在最近治疗的癌症患者随访中的作用。结论：全科医生在许多癌症患者的随访中有一席之地，也处于治疗后的初始阶段。患者相信他们的全科医生能提供称职的护理，特别是当他们在癌症之外还有更复杂的医疗保健需求时。全科医生同意为癌症患者发挥更重要的作用，前提是有很好的途径获得专家的建议。在许多情况下，对个别病人的后续行动计划可以改善护理和合作。这样的计划最好在出院前由一个由病人、一名护理员、一名医院专家和一名全科医生组成的小组制定。患者和全科医生呼吁医院医生发起这种合作。
BACKGROUND: The role of the general practitioner (GP) in cancer follow-up is poorly defined. We wanted to describe and analyse the role of the GP during initial follow-up of patients with recently treated cancer, from the perspective of patients, their relatives and their GPs.METHODS: One focus group interview with six GPs from the city of Bodo and individual interviews with 17 GPs from the city of Tromso in North Norway. Text analysis of the transcribed interviews and of free text comments in two questionnaires from 91 patients with cancer diagnosed between October 1999 and September 2000 and their relatives from Tromso.RESULTS: The role of the GP in follow-up of patients with recently treated cancer is discussed under five main headings: patient involvement, treating the cancer and treating the patient, time and accessibility, limits to competence, and the GP and the hospital should work together.CONCLUSION: The GP has a place in the follow-up of many patients with cancer, also in the initial phase after treatment. Patients trust their GP to provide competent care, especially when they have more complex health care needs on top of their cancer. GPs agree to take a more prominent role for cancer patients, provided there is good access to specialist advice. Plans for follow-up of individual patients could in many cases improve care and cooperation. Such plans could be made preferably before discharge from in-patient care by a team consisting of the patient, a carer, a hospital specialist and a general practitioner. Patients and GPs call on hospital doctors to initiate such collaboration.