The role of family physicians in cancer care: perspectives of primary and specialty care providers
Identifieur interne : 000083 ( Main/Exploration ); précédent : 000082; suivant : 000084The role of family physicians in cancer care: perspectives of primary and specialty care providers
Auteurs : J. Easley ; B. Miedema ; M. A. O Rien [Canada] ; J. Carroll [Canada] ; D. Manca ; F. Webster [Canada] ; E. Grunfeld [Canada]Source :
- Current Oncology [ 1198-0052 ] ; 2017.
Abstract
Currently, the specific role of family physicians (
Using a constructivist grounded theory approach, we conducted telephone interviews with 58 primary and cancer specialist health care providers from across Canada.
The participants—21 ■ The ■ The specialists expressed concerns about a lack of patient access to
The
Better communication, more collaboration, and further education are needed to enhance the role of
Url:
DOI: 10.3747/co.24.3447
PubMed: 28490920
PubMed Central: 5407869
Affiliations:
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O Rien</name><affiliation wicri:level="4"><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Carroll, J" sort="Carroll, J" uniqKey="Carroll J" first="J." last="Carroll">J. Carroll</name><affiliation wicri:level="4"><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation><nlm:aff id="af3-conc-24-75">Sinai Health System, Toronto, ON;</nlm:aff><wicri:noCountry code="subfield">ON</wicri:noCountry></affiliation></author><author><name sortKey="Manca, D" sort="Manca, D" uniqKey="Manca D" first="D." last="Manca">D. Manca</name><affiliation><nlm:aff id="af4-conc-24-75">University of Alberta, Department of Family Medicine, Edmonton, AB.</nlm:aff><wicri:noCountry code="subfield">AB.</wicri:noCountry></affiliation></author><author><name sortKey="Webster, F" sort="Webster, F" uniqKey="Webster F" first="F." last="Webster">F. Webster</name><affiliation wicri:level="4"><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Grunfeld, E" sort="Grunfeld, E" uniqKey="Grunfeld E" first="E." last="Grunfeld">E. Grunfeld</name><affiliation wicri:level="4"><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28490920</idno><idno type="pmc">5407869</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5407869</idno><idno type="RBID">PMC:5407869</idno><idno type="doi">10.3747/co.24.3447</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">002D74</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002D74</idno><idno type="wicri:Area/Pmc/Curation">002D73</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002D73</idno><idno type="wicri:Area/Pmc/Checkpoint">000026</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000026</idno><idno type="wicri:Area/Ncbi/Merge">009060</idno><idno type="wicri:Area/Ncbi/Curation">009060</idno><idno type="wicri:Area/Ncbi/Checkpoint">009060</idno><idno type="wicri:doubleKey">1198-0052:2017:Easley J:the:role:of</idno><idno type="wicri:Area/Main/Merge">000083</idno><idno type="wicri:Area/Main/Curation">000083</idno><idno type="wicri:Area/Main/Exploration">000083</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The role of family physicians in cancer care: perspectives of primary and specialty care providers</title><author><name sortKey="Easley, J" sort="Easley, J" uniqKey="Easley J" first="J." last="Easley">J. Easley</name><affiliation><nlm:aff id="af1-conc-24-75">Dalhousie University, Family Medicine Teaching Unit, Fredericton, NB;</nlm:aff><wicri:noCountry code="subfield">NB</wicri:noCountry></affiliation></author><author><name sortKey="Miedema, B" sort="Miedema, B" uniqKey="Miedema B" first="B." last="Miedema">B. Miedema</name><affiliation><nlm:aff id="af1-conc-24-75">Dalhousie University, Family Medicine Teaching Unit, Fredericton, NB;</nlm:aff><wicri:noCountry code="subfield">NB</wicri:noCountry></affiliation></author><author><name sortKey="O Rien, M A" sort="O Rien, M A" uniqKey="O Rien M" first="M. A." last="O Rien">M. A. O Rien</name><affiliation wicri:level="4"><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Carroll, J" sort="Carroll, J" uniqKey="Carroll J" first="J." last="Carroll">J. Carroll</name><affiliation wicri:level="4"><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation><nlm:aff id="af3-conc-24-75">Sinai Health System, Toronto, ON;</nlm:aff><wicri:noCountry code="subfield">ON</wicri:noCountry></affiliation></author><author><name sortKey="Manca, D" sort="Manca, D" uniqKey="Manca D" first="D." last="Manca">D. Manca</name><affiliation><nlm:aff id="af4-conc-24-75">University of Alberta, Department of Family Medicine, Edmonton, AB.</nlm:aff><wicri:noCountry code="subfield">AB.</wicri:noCountry></affiliation></author><author><name sortKey="Webster, F" sort="Webster, F" uniqKey="Webster F" first="F." last="Webster">F. Webster</name><affiliation wicri:level="4"><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Grunfeld, E" sort="Grunfeld, E" uniqKey="Grunfeld E" first="E." last="Grunfeld">E. Grunfeld</name><affiliation wicri:level="4"><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author></analytic><series><title level="j">Current Oncology</title><idno type="ISSN">1198-0052</idno><idno type="eISSN">1718-7729</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Currently, the specific role of family physicians (<sc>fp</sc>s) in the care of people with cancer is not well defined. Our goal was to explore physician perspectives and contextual factors related to the coordination of cancer care and the role of <sc>fp</sc>s.</p></sec><sec><title>Methods</title><p>Using a constructivist grounded theory approach, we conducted telephone interviews with 58 primary and cancer specialist health care providers from across Canada.</p></sec><sec><title>Results</title><p>The participants—21 <sc>fp</sc>s, 15 surgeons, 12 medical oncologists, 6 radiation oncologists, and 4 general practitioners in oncology—were asked to describe both the role that <sc>fp</sc>s currently play and the role that, in their opinion, <sc>fp</sc>s should play in the future care of cancer patients across the cancer continuum. Participants identified 3 key roles: coordinating cancer care, managing comorbidities, and providing psychosocial care to patients and their families. However, <sc>fp</sc>s and specialists discussed many challenges that prevent <sc>fp</sc>s from fully performing those roles:
<list list-type="simple"><list-item><p>■ The <sc>fp</sc>s described communication problems resulting from not being kept “in the loop” because they weren’t copied on patient reports and also the lack of clearly defined roles for all the various health care providers involved in providing care to cancer patients.</p></list-item><list-item><p>■ The specialists expressed concerns about a lack of patient access to <sc>fp</sc> care, leaving specialists to fill the care gaps.</p></list-item></list></p><p>The <sc>fp</sc>s and specialists both recommended additional training and education for <sc>fp</sc>s in survivorship care, cancer screening, genetic testing, and new cancer treatments.</p></sec><sec><title>Conclusions</title><p>Better communication, more collaboration, and further education are needed to enhance the role of <sc>fp</sc>s in the care of cancer patients.</p></sec></div></front></TEI><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><noCountry><name sortKey="Easley, J" sort="Easley, J" uniqKey="Easley J" first="J." last="Easley">J. Easley</name><name sortKey="Manca, D" sort="Manca, D" uniqKey="Manca D" first="D." last="Manca">D. Manca</name><name sortKey="Miedema, B" sort="Miedema, B" uniqKey="Miedema B" first="B." last="Miedema">B. Miedema</name></noCountry><country name="Canada"><region name="Ontario"><name sortKey="O Rien, M A" sort="O Rien, M A" uniqKey="O Rien M" first="M. A." last="O Rien">M. A. O Rien</name></region><name sortKey="Carroll, J" sort="Carroll, J" uniqKey="Carroll J" first="J." last="Carroll">J. Carroll</name><name sortKey="Grunfeld, E" sort="Grunfeld, E" uniqKey="Grunfeld E" first="E." last="Grunfeld">E. Grunfeld</name><name sortKey="Webster, F" sort="Webster, F" uniqKey="Webster F" first="F." last="Webster">F. Webster</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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