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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">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>
</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>
</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><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carroll, J" sort="Carroll, J" uniqKey="Carroll J" first="J." last="Carroll">J. Carroll</name>
<affiliation><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af3-conc-24-75">Sinai Health System, Toronto, ON;</nlm:aff>
</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>
</affiliation>
</author>
<author><name sortKey="Webster, F" sort="Webster, F" uniqKey="Webster F" first="F." last="Webster">F. Webster</name>
<affiliation><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Grunfeld, E" sort="Grunfeld, E" uniqKey="Grunfeld E" first="E." last="Grunfeld">E. Grunfeld</name>
<affiliation><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff>
</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>
</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>
</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>
</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><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Carroll, J" sort="Carroll, J" uniqKey="Carroll J" first="J." last="Carroll">J. Carroll</name>
<affiliation><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af3-conc-24-75">Sinai Health System, Toronto, ON;</nlm:aff>
</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>
</affiliation>
</author>
<author><name sortKey="Webster, F" sort="Webster, F" uniqKey="Webster F" first="F." last="Webster">F. Webster</name>
<affiliation><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Grunfeld, E" sort="Grunfeld, E" uniqKey="Grunfeld E" first="E." last="Grunfeld">E. Grunfeld</name>
<affiliation><nlm:aff wicri:cut=", and" id="af2-conc-24-75">University of Toronto, Department of Family and Community Medicine</nlm:aff>
</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>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Curr Oncol</journal-id>
<journal-id journal-id-type="iso-abbrev">Curr Oncol</journal-id>
<journal-id journal-id-type="publisher-id">CO</journal-id>
<journal-title-group><journal-title>Current Oncology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1198-0052</issn>
<issn pub-type="epub">1718-7729</issn>
<publisher><publisher-name>Multimed Inc.</publisher-name>
<publisher-loc>66 Martin St. Milton, ON, Canada L9T 2R2</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">28490920</article-id>
<article-id pub-id-type="pmc">5407869</article-id>
<article-id pub-id-type="doi">10.3747/co.24.3447</article-id>
<article-id pub-id-type="publisher-id">conc-24-75</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
<subj-group subj-group-type="heading"><subject>Cancer Rehabilitation and Survivorship</subject>
<subj-group subj-group-type="heading"><subject>Primary Care Article Series</subject>
</subj-group>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>The role of family physicians in cancer care: perspectives of primary and specialty care providers</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Easley</surname>
<given-names>J.</given-names>
</name>
<degrees>MA</degrees>
<xref ref-type="aff" rid="af1-conc-24-75"><sup>*</sup>
</xref>
<xref rid="c1-conc-24-75" ref-type="corresp"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Miedema</surname>
<given-names>B.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="af1-conc-24-75"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>O’Brien</surname>
<given-names>M.A.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="af2-conc-24-75"><sup>†</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Carroll</surname>
<given-names>J.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af2-conc-24-75"><sup>†</sup>
</xref>
<xref ref-type="aff" rid="af3-conc-24-75"><sup>‡</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Manca</surname>
<given-names>D.</given-names>
</name>
<degrees>MD MClSc</degrees>
<xref ref-type="aff" rid="af4-conc-24-75"><sup>§</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Webster</surname>
<given-names>F.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="af2-conc-24-75"><sup>†</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Grunfeld</surname>
<given-names>E.</given-names>
</name>
<degrees>MD DPhil</degrees>
<xref ref-type="aff" rid="af2-conc-24-75"><sup>†</sup>
</xref>
</contrib>
<contrib contrib-type="author"><collab>For the Canadian Team to Improve Community-Based Cancer Care Along the Continuum</collab>
</contrib>
<aff id="af1-conc-24-75"><label>*</label>
Dalhousie University, Family Medicine Teaching Unit, Fredericton, NB;</aff>
<aff id="af2-conc-24-75"><label>†</label>
University of Toronto, Department of Family and Community Medicine, and</aff>
<aff id="af3-conc-24-75"><label>‡</label>
Sinai Health System, Toronto, ON;</aff>
<aff id="af4-conc-24-75"><label>§</label>
University of Alberta, Department of Family Medicine, Edmonton, AB.</aff>
</contrib-group>
<author-notes><corresp id="c1-conc-24-75">Correspondence to: Julie Easley, Family Medicine Teaching Unit, Dr. Everett Chalmers Hospital, PO Box 9000, Fredericton, New Brunswick E3B 5N5. E-mail: <email>julie.easley@horizonnb.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>4</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub"><day>27</day>
<month>4</month>
<year>2017</year>
</pub-date>
<volume>24</volume>
<issue>2</issue>
<fpage>75</fpage>
<lpage>80</lpage>
<permissions><copyright-statement>2017 Multimed Inc.</copyright-statement>
<copyright-year>2017</copyright-year>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>Family physicians</kwd>
<kwd>cancer specialists</kwd>
<kwd>communication</kwd>
<kwd>qualitative studies</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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