"Throughout the cancer patient's journey, there ought to be a discussion about work": The role of GPs in Scotland.
"Throughout the cancer patient's journey, there ought to be a discussion about work": The role of GPs in Scotland.
复制标题
“在癌症患者的整个旅程中，应该讨论工作”：全科医生在苏格兰的作用。
DOI：
10.1002/pon.4407
复制
发表时间：
2018
期刊：
影响因子：
3.6
通讯作者：
Murdoch SE
中科院分区：
文献类型：
--
作者：
Murdoch SE
在英国，相当大比例的适龄劳动人口每年都会被诊断为癌症。工作给癌症患者带来了许多好处。然而，潜在的治疗效果可能导致反复病假和工作能力下降(2)，需要工作场所调整(3)。随着癌症患者适应新的能力，他们会向全科医生寻求与工作相关的建议(4)。然而，除了评估工作适宜性的法定职责(Fit Note)之外，许多全科医生不确定他们在这一领域的作用(5)。职业和癌症类型的丰富使得全科医生很难获得足够的知识来向个别癌症患者提供与工作有关的建议(5)。提供此类建议的临床指导也很有限(5)。对全科医生协商施加的时间限制进一步加剧了这些困难，往往意味着工作得不到应有的考虑。苏格兰很少有研究探讨全科医生在为癌症患者提供工作建议方面的作用，尽管有人建议应在初级保健中与癌症患者讨论就业问题(6)，而且越来越多的人呼吁全科医生提供癌症后续护理(7)。这项探索性研究的目的是确定苏格兰全科医生在向癌症患者提供工作相关建议方面的作用。
A significant proportion of working-age individuals receive a cancer diagnosis each year in the United Kingdom (UK). Work offers many benefits to cancer patients (1). However, latent treatment effects can cause recurrent sickness absence and lowered work ability (2), necessitating workplace adjustments (3). As they adjust to their new capabilities, cancer patients turn to General Practitioners (GPs) for work-related advice (4). However, beyond the statutory duty of assessing fitness to work (Fit Note), many GPs are uncertain of their role in this area (5). The abundance of occupations and cancer types makes it difficult for GPs to gain enough knowledge to adequately provide work-related advice to individual cancer patients (5). There is also limited clinical guidance available concerning the provision of such advice (5). Time constraints imposed on GP consultations further compound these difficulties, often meaning that work is not given due consideration. Few studies in Scotland have explored the role of GPs in advising cancer patients about work, despite the recommendation that employment should be discussed with cancer patients in primary care (6), and the increasing calls for GPs to deliver cancer follow-up care (7). The aim of this exploratory study was to determine the role of GPs in Scotland in providing work-related advice to cancer patients.