German general practitioners' views on their involvement and role in cancer care: a qualitative study
German general practitioners' views on their involvement and role in cancer care: a qualitative study
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DOI：
10.1093/fampra/cmt088
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发表时间：
2014-04-01
期刊：
影响因子：
2.2
通讯作者：
Siebenhofer, Andrea
中科院分区：
文献类型：
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作者：
Dahlhaus, Anne;Vanneman, Nicholas;Siebenhofer, Andrea
背景癌症护理的多学科性和连续性使得患者护理的连续性变得困难。癌症患者通常认识他们的全科医生（GP）多年，并且经常与他们保持联系。目的。我们研究了德国全科医生的意见，他们参与的护理癌症患者。我们对30名德国全科医生进行了半结构化访谈。应用有目的的采样以确保最大的异质性。访谈记录，转录，然后使用定性内容分析根据Mayring。全科医生认为，在癌症护理的后期阶段，但主要是零星的作用（如需要时）在早期阶段的明确参与。他们认为，全科医生提供更多的护理通常对癌症患者有益，因为他们能够考虑患者的病史、环境和合并症，使他们能够提供更多以患者为中心的护理。全科医生希望继续参与并了解他们的癌症患者的进展情况，他们抱怨提供者之间的信息共享缓慢或不存在，以及护理协调不足。他们积极主动地试图通过与患者和医生的直接接触来克服这些障碍，并通过建立可信赖的护理提供者网络。鉴于他们与癌症患者的长期和密切的关系，全科医生能够在整个癌症护理过程中陪伴他们。然而，这种普遍参与还不常见。共同护理模式可能会考虑到初级护理和专科护理的互补性。
Background. The multidisciplinary and sequential nature of cancer care makes continuity of care for patients difficult. Cancer patients have often known their general practitioners (GPs) for years and are often in constant contact with them.Objective(s). We examined German GPs views on their involvement in the care of cancer patients.Methods. We conducted semi-structured interviews with 30 German GPs. Purposeful sampling was applied to secure maximum heterogeneity. Interviews were recorded, transcribed and then analyzed using qualitative content analysis according to Mayring.Results. GPs perceive a clear involvement in the latter phase of cancer care but a mainly sporadic role (as and when required) in earlier phases. They think that greater care contributions from GPs are generally beneficial to cancer patients, as their ability to take the patients history, surroundings and co-morbidities into account enables them to provide more patient-centred care. GPs want to stay involved and to know how their cancer patients are progressing, and they complain about slow or non-existent information sharing between providers, as well as insufficient care coordination. They pro-actively try to overcome these obstacles through direct contact with patients and physicians, and by building networks of trusted care providers.Conclusions. Given their long-lasting and close relationships with cancer patients, GPs are in a position to accompany them throughout the whole process of cancer care. However, such general involvement is as yet uncommon. Shared care models may have the potential to take into account the complementary character of primary and specialist care.