GPs’ assessment of cooperation with other health care providers involved in cancer care-a cross-sectional study

Koné, Inza; Klein, Gudrun; Siebenhofer, Andrea; Dahlhaus, Anne; Güthlin, Corina

doi:10.1111/ecc.12751

Cited by 6 publications

(7 citation statements)

References 34 publications

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“…In this context, the general practitioner is usually the first person to be contacted by patients with health problems and is therefore conceivable in the role of a coordinator 21 . In addition, the general practitioner is the care provider who generally has a long-term relationship with patients, which is often intensified following a cancer diagnosis 22 .…”

Section: Discussionmentioning

confidence: 99%

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Lung cancer patients’ comorbidities and attendance of German ambulatory physicians in a 5-year cross-sectional study

Bossert

Ludwig

Wronski

et al. 2021

npj Prim. Care Respir. Med.

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The majority of lung cancer patients are diagnosed with an advanced stage IV, which has short survival time. Many lung cancer patients have comorbidities, which influence treatment and patients’ quality of life. The aim of the study is to describe comorbidities in incident lung cancer patients and explore their attendance of ambulatory care physicians in Germany. In the observed period, 13,111 persons were first diagnosed with lung cancer (1-year incidence of 36.4 per 100,000). The mean number of comorbidities over 4 quarters was 30.77 ± 13.18; mean Charlson Comorbidity Index was 6.66 ± 2.24. In Germany, ambulatory care physicians most attended were general practitioners (2.6 quarters with contact within 4 quarters). Lung cancer was diagnosed by a general practitioner in 38% of the 13,111 incident patients. The average number of ambulatory care physician contacts over 4 quarters was 35.82 ± 27.31. High numbers of comorbidities and contacts in ambulatory care are common in patients with lung cancer. Therefore, a cross-sectoral and interdisciplinary approach is required for effective, patient-centred care. This was a 5-year cross-sectoral study, based on the InGef research database, which covers anonymized health insurance data of 7.2 million individuals in Germany. Incident lung cancer patients in a 5-year period (2013–2017) were identified. Descriptive statistics were calculated for sociodemographic characteristics, comorbidities, and attendance of ambulatory care physicians.

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Section: Discussionmentioning

confidence: 99%

“…Furthermore, patients with advanced cancer often experience prolonged and frequent hospital stays 22 . Between hospital stays, patients are treated by outpatient specialists for both cancer and comorbidities.…”

Section: Discussionmentioning

confidence: 99%

Lung cancer patients’ comorbidities and attendance of German ambulatory physicians in a 5-year cross-sectional study

Bossert

Ludwig

Wronski

et al. 2021

npj Prim. Care Respir. Med.

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“…Further factors influencing GPs' perception of SPHC importance: Firstly, the higher GPs' perceived SPHC quality the higher they rated the importance of SPHC. Although a corrected R 2 = .183, n = 559; only independent variables with significance < 0.05 are shown there is no uniform definition of quality of SPHC, recent studies describe factors contributing to GPs' satisfaction with SPHC teams: timely and appropriate advice and accessible help [25][26][27], well-developed channels of communication, timely provision of technical expertise [8] and competence of health care providers [27]. Secondly, if SPHC had been initiated, the continuing involvement in the treatment of their patients appears to be relevant to GPs, resulting in a higher appreciation of SPHC.…”

Section: Further Findingsmentioning

confidence: 99%

Factors influencing GPs’ perception of specialised palliative homecare (SPHC) importance – results of a cross-sectional study

et al. 2020

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Background: General Practitioners (GPs) are the main providers of primary palliative care (PPC). At the same time they are the main initiators of specialised palliative homecare (SPHC). In Germany, little is known about factors which influence GPs in their involvement of SPHC. Aim of our study is to identify factors that drive GPs to give value to and involve SPHC. Methods: A cross-sectional survey was performed. In 2018, questionnaires were mailed to 6000 randomly selected GPs from eight German federal states, focusing on the extent of GPs' palliative care activities and their involvement of SPHC. Results: With a response rate of 19.4% and exclusion of GPs working in SPHC-teams, n = 1026 questionnaires were appropriate for analysis. GPs valued SPHC support as the most "important/very important" for both "technical/ invasive treatment measures" (95%) and availability outside practice opening hours (92%). The most relevant factor influencing perceived SPHC-importance was GPs' self-reported extent of engagement in palliative care (β = − 0.283; CI 95% = − 0.384;−0.182), followed by the perceived quality of utilised SPHC (β = 0.119; CI 95% = 0.048;0.190), involvement in treatment of palliative patients after SPHC initiation (β = 0.088; CI 95% = 0.042; 0.134), and conviction that palliative care should be a central part of GPs' work (β = − 0.062; CI 95% = − 0.116; −0.008). Perceived SPHC-importance is also associated with SPHC-referrals (β =0.138; p < 0.001). The lower the engagement of GPs in palliative care, the more they involve SPHC and vice versa. Conclusions: GPs with low reported activity in palliative care are more likely to initialise SPHC for palliative care activities they do not deliver themselves for various reasons, which might mean that the involvement of SPHC is substitutive instead of complementary to primary palliative care. This finding and its interpretation should be given more attention in the future policy framework for (specialised) palliative homecare.

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“…Medical professionals other than doctors are all those medical specialists that contribute to the overall process of treatment, i.e. nurses, psychologists, speech therapists, occupational therapists, and physical therapists (Busari et al, 2017;Chomienne et al, 2011;Fagin, 1992;Kone et al, 2018;Stratil et al, 2017). They can all work together in teams, e.g.…”

Section: Introductionmentioning

confidence: 99%

Cooperation Between a Doctor and a Podiatrist to Improve the Quality of Life of Patients with Ingrown Toenails

Trochanowski

Baum

Żaba

2021

Studies in Logic, Grammar and Rhetoric

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Cooperation between doctors of various specialties and other medical specialists is the standard of care in the treatment of patients. Due to the variety of diseases and the dynamic development of medicine in general, it is difficult to be an expert in every field and know all the recommended treatments. An example of such cooperation is the joint treatment of patients with the problem of ingrown toenails. The article contains an analysis of patients who received treatment in a doctor’s office in cooperation with podiatrists. A conservative approach towards the treatment of this condition sees the patient being initially diagnosed and treated by a podiatrist and then later, if necessary, being referred to a doctor for surgical treatment. The exchange of experiences and information on patients treated by interdisciplinary teams allows doctors and podiatrists to find the best possible treatment and improve the quality of life of patients. The follow-up of patients after surgery can be performed later in podiatry offices. Owing to modern electronic communication, it is possible for a doctor to constantly monitor the patient’s condition without the need for direct visits to the doctor’s office.

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GPs’ assessment of cooperation with other health care providers involved in cancer care-a cross-sectional study

Cited by 6 publications

References 34 publications

Lung cancer patients’ comorbidities and attendance of German ambulatory physicians in a 5-year cross-sectional study

Lung cancer patients’ comorbidities and attendance of German ambulatory physicians in a 5-year cross-sectional study

Factors influencing GPs’ perception of specialised palliative homecare (SPHC) importance – results of a cross-sectional study

Cooperation Between a Doctor and a Podiatrist to Improve the Quality of Life of Patients with Ingrown Toenails

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