Shared care: a review of the literature

Hampson, J.P.; Roberts, R.; Da, Morgan

doi:10.1093/fampra/13.3.264

Cited by 73 publications

(44 citation statements)

References 104 publications

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“…9 Studies on communication across sector boundaries in paediatric oncology have shown that an information package may effectively improve communication between the oncology unit and the GP. 10 Our results support these findings.…”

Section: Discussionmentioning

confidence: 99%

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Randomised controlled trial of a shared care programme for newly referred cancer patients: bridging the gap between general practice and hospital

Nielsen

Palshof

Mainz

et al. 2003

Quality and Safety in Health Care

118

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Objective: To determine the effect of a shared care programme on the attitudes of newly referred cancer patients towards the healthcare system and their health related quality of life and performance status, and to assess patients' reports on contacts with their general practitioner (GP). Setting: Department of Oncology at Aarhus University Hospital and general practices. Design: Randomised controlled trial in which patients completed questionnaires at three time points. The shared care programme included transfer of knowledge from the oncologist to the GP, improved communication between the parties, and active patient involvement. Participants: 248 consecutive cancer patients recently referred to the department. Main outcome measures: Patients' attitudes towards the healthcare services, their health related quality of life, performance status, and reports on contacts with their GPs. Results: The shared care programme had a positive effect on patient evaluation of cooperation between the primary and secondary healthcare sectors. The effect was particularly significant in men and in younger patients (18-49 years) who felt they received more care from the GP and were left less in limbo. Young patients in the intervention group rated the GP's knowledge of disease and treatment significantly higher than young patients in the control group. The number of contacts with the GP was significantly higher in the intervention group. The EORTC quality of life questionnaire and performance status showed no significant differences between the two groups. Conclusions: An intersectoral shared care programme in which GPs and patients are actively involved has a positive influence on patients' attitudes towards the healthcare system. Young patients and men particularly benefit from the programme. P atients with cancer may feel uncertain about what is going to happen when they are referred to hospital and they may experience psychological morbidity and dissatisfaction with the provision of information and care.1 They have stressed the importance of the following aspects in their contact with the healthcare service: doctors' technical competence, communication skills, continuity of care, family care, and financial circumstances.2 Most patients with cancer are treated as outpatients and may therefore feel left alone at crucial moments. At such times they often consult their general practitioner (GP) for further advice, information, and repetition of information. These contacts place the GP in a key position in which s/he may have problems due to lack of specific knowledge of cancer and lack of collaboration with the oncologists. [3][4][5] This situation occurs frequently and may be remedied by sharing the care between GPs and oncologists.Shared care has been defined as "care [which] applies when the responsibility for the health care of the patient is shared between individuals or teams who are part of separate organisations, or where substantial organisational boundaries exist".6 It implies personal communication and organised trans...

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Section: Discussionmentioning

confidence: 99%

“…The dialogue between the oncologist and the GP is particularly important. [7][8][9] James et al 10 reported that a paediatric oncology information package for GPs helped them to manage their patients' disease and improved their communication with the oncologists.…”

mentioning

confidence: 99%

Randomised controlled trial of a shared care programme for newly referred cancer patients: bridging the gap between general practice and hospital

Nielsen

Palshof

Mainz

et al. 2003

Quality and Safety in Health Care

118

View full text Add to dashboard Cite

show abstract

“…A wealth of evidence points to the importance of productive interactions and cooperation in developing, maintaining and updating team care plans, and making that common care plan available for all providers and the patient [27][28][29].…”

Section: Developing and Maintaining Care Plans With Teams And Patientsmentioning

confidence: 99%

Australia's Health Care Homes: laying the right foundations

Jackson

Hambleton

2017

Medical Journal of Australia

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“…In different areas of health care, integrated care delivery systems have proven beneficial to patients' health and financial resources [7][8][9][10][11][12] by reducing hospital stays 8 and costs 7,12 and by improving patient and provider satisfaction. 7 However, in largely rural states such as NC, HIV health and social services are fragmented.…”

Section: Synopsismentioning

confidence: 99%