Survivorship Care Plans to inform the primary care physician: results from the ROGY care pragmatic cluster randomized controlled trial
Survivorship Care Plans to inform the primary care physician: results from the ROGY care pragmatic cluster randomized controlled trial
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DOI：
10.1007/s11764-014-0368-0
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发表时间：
2014-12-01
影响因子：
3.7
通讯作者：
van de Poll-Franse, Lonneke V.
中科院分区：
文献类型：
--
作者：
Ezendam, Nicole P. M.;Nicolaije, Kim A. H.;van de Poll-Franse, Lonneke V.
本研究旨在评估向初级保健医生（PCP）发送生存护理计划（SCP）对PCP与医学专家和患者沟通的影响，并描述PCP对SCP的意见。在12家医院进行的一项实用的随机分组对照试验中，子宫内膜癌和卵巢癌患者的PCP接受常规信息，此外，SCP护理部门还收到了患者SCP的副本。266名PCP（76%）返回了调查问卷。SCP护理组中三分之一的PCP表示已接受SCP。SCP治疗组中的PCP更有可能与医学专家进行个人接触（52 vs. 37%，p = 0.01），但对信息的满意度与常规治疗组中的PCP相同（7.2 vs. 6.9，量表从1到10，p = 0.25）。在所有PCP中，82%的人表示他们希望在未来获得SCP。接受SCP的PCP中有四分之一报告SCP支持与患者接触。然而，SCP被发现的时间太长了。向PCP提供SCP可能对PCP和医疗专家之间的沟通有积极的影响。SCP应简明扼要，并侧重于PCP的需求，例如联系信息和关于患者诊断、治疗和可能后果的定制信息。鉴于癌症护理向PCP的过渡，幸存者可能会从改进的信息提供和沟通中受益。
This study assesses the effect of sending a Survivorship Care Plan (SCP) to primary care physicians (PCP) on the communication of the PCP with the medical specialist and the patient and to describe PCPs' opinions regarding the SCP.In a pragmatic cluster randomized controlled trial conducted in 12 hospitals, the PCP of endometrial and ovarian cancer patients received usual information, while in addition the SCP-care arm received a copy of the patient's SCP.A questionnaire was returned by 266 PCPs (76 %). One third of the PCPs in the SCP-care arm indicated having received an SCP. PCPs in the SCP-care arm were more likely to have had personal contact with the medical specialist (52 vs. 37 %, p = 0.01) but were equally satisfied with the information as PCPs in the usual care arm (7.2 vs. 6.9 on a scale from 1 to 10, p = 0.25). Of all PCPs, 82 % indicated they would want to receive an SCP in the future. A quarter of the PCPs who received an SCP reported that the SCP supported contact with the patient. However, the SCP was found too long.Supplying an SCP to PCPs potentially has a positive effect on the communication between the PCP and the medical specialist. The SCP should be concise and focused on PCPs' needs, such as contact information and tailored information on patient diagnosis, treatment, and possible consequences.In the light of transition of cancer care to PCPs, survivors may benefit from improved information provision and communication.