Increased primary health care use in the first year after colorectal cancer diagnosis

Brandenbarg, Daan; Roorda, Carriene; Groenhof, Feikje; Havenga, Klaas; Berger, Marjolein Y.; Bock, Geertruida H. de; Berendsen, Annette J.

doi:10.3109/02813432.2014.929811

Cited by 36 publications

(33 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…155 The PCP and other members of the primary care team have a potentially important role in management of these eff ects. Indeed, increased contact between patients and the PCP has been reported after a cancer diagnosis for help with both treatment-related side-eff ects and psychological problems; 156,157 as patients have often been discharged from secondary care when they develop late eff ects, most will fi rst report symptoms to the PCP. Additionally, many patients with cancer are elderly with comorbidities, and the PCP is best placed to provide them with holistic care.…”

Section: Long-term and Late Eff Ects Of Treatmentmentioning

confidence: 99%

The expanding role of primary care in cancer control

Rubin

Berendsen

Crawford

et al. 2015

The Lancet Oncology

448

450

View full text Add to dashboard Cite

The nature of cancer control is changing, with an increasing emphasis, fuelled by public and political demand, on prevention, early diagnosis, and patient experience during and after treatment. At the same time, primary care is increasingly promoted, by governments and health funders worldwide, as the preferred setting for most health care for reasons of increasing need, to stabilise health-care costs, and to accommodate patient preference for care close to home. It is timely, then, to consider how this expanding role for primary care can work for cancer control, which has long been dominated by highly technical interventions centred on treatment, and in which the contribution of primary care has been largely perceived as marginal. In this Commission, expert opinion from primary care and public health professionals with academic and clinical cancer expertise-from epidemiologists, psychologists, policy makers, and cancer specialists-has contributed to a detailed consideration of the evidence for cancer control provided in primary care and community care settings. Ranging from primary prevention to end-of-life care, the scope for new models of care is explored, and the actions needed to eff ect change are outlined. The strengths of primary care-its continuous, coordinated, and comprehensive care for individuals and families-are particularly evident in prevention and diagnosis, in shared follow-up and survivorship care, and in end-of-life care. A strong theme of integration of care runs throughout, and its elements (clinical, vertical, and functional) and the tools needed for integrated working are described in detail. All of this change, as it evolves, will need to be underpinned by new research and by continuing and shared multiprofessional development.

show abstract

Section: Long-term and Late Eff Ects Of Treatmentmentioning

confidence: 99%

The expanding role of primary care in cancer control

Rubin

Berendsen

Crawford

et al. 2015

The Lancet Oncology

448

450

View full text Add to dashboard Cite

show abstract

“…Nurse navigators should be encouraged to also communicate regularly with the patient's general practitioner, who often plays an active role in managing patients' other conditions throughout cancer treatment (Klabunde et al, 2009). Patients with cancer have 54% more visits and 68% more drug prescriptions by their general practitioner in the year following a cancer diagnosis (Brandenbarg et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Living with cancer and other chronic conditions: Patients’ perceptions of their healthcare experience

Duthie¹,

Strohschein²,

Loiselle³

2017

CONJ

View full text Add to dashboard Cite

show abstract

“…Cancer care is complex and involves a range of healthcare providers both inside and outside hospitals (Sussman & Baldwin, ), and patients find it important that these providers exchange relevant information appropriately to ensure smooth continuity of care (Nazareth et al., ; Spiegel et al., ). In countries where general practitioners (GPs) provide that continuity of care and function as gatekeepers, communication between primary and secondary care is particularly relevant and especially for patients in complex situations such as cancer (Brandenbarg et al., ; Klabunde et al., ; Rubin et al., ). In the Netherlands and other countries with a similar system, all patients do have a GP and they often see their GP also during specialist treatment, not only for other health problems but also for explanation and for emotional support.…”

Section: Introductionmentioning

confidence: 99%

Correspondence between primary and secondary care about patients with cancer: A qualitative mixed-methods analysis

et al. 2018

Self Cite

View full text Add to dashboard Cite

Cancer care is complex and involves many different healthcare providers, especially during diagnosis and initial treatment, and it has been reported that both general practitioners and oncology specialists experience difficulties with interdisciplinary communication. The aim of this qualitative study was to explore information sharing between primary and secondary care for patients with lung, breast or colorectal cancer. A qualitative content analysis of 50 medical files (419 documents) was performed, which identified 70 correspondence-related items. Six main topics were identified in most referral letters from primary to secondary care, but it was particularly notable that highly relevant information regarding the past medical history was often mixed with less relevant information. To lesser extents, the same held true for the medication list and presenting history. In the letters from specialists, nine topics were identified in most letters. Although information about actual treatment was always present, only limited detail, if any, was given about the intent of the treatment (curative or palliative) or the treatment alternatives. Interviews with nine healthcare providers confirmed these issues. These findings indicate that neither the initial referral nor the specialist correspondence is tailored to the needs of the recipient.

show abstract

Increased primary health care use in the first year after colorectal cancer diagnosis

Cited by 36 publications

References 25 publications

The expanding role of primary care in cancer control

The expanding role of primary care in cancer control

Living with cancer and other chronic conditions: Patients’ perceptions of their healthcare experience

Correspondence between primary and secondary care about patients with cancer: A qualitative mixed-methods analysis

Contact Info

Product

Resources

About