What role does the general practitioner in France play among cancer patients during the initial treatment phase with intravenous chemotherapy? A qualitative study

Coindard, Guillaume; Barrière, Jérôme; Véga, Anne; Patrikidou, Anna; Saldanha-Gomes, Cecilia; Arnould, Pascale; Combessie, Philippe; Ourabah, Rissane

doi:10.3109/13814788.2015.1126821

Cited by 16 publications

(12 citation statements)

References 21 publications

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“…Consistent with existing literature, survivors reported reluctance in visiting PCPs for cancer‐related care due to low perceived experience and pediatric survivorship knowledge , as well as to strong feelings of detachment from PCPs after diagnosis. Strong PCP relationships in adult cancer patients are built on trust and rapport, most notably developing over time . Such relationships may be less common in CCS who develop strong relationships with their oncologist and may prefer never to transition to adult care .…”

Section: Discussionmentioning

confidence: 99%

The Role of Primary Care Physicians in Childhood Cancer Survivorship Care: Multiperspective Interviews

et al. 2018

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Childhood cancer survivors and their parents have low confidence in primary care physicians' ability to manage their survivorship care. Encouraging engagement in primary care is important to promote holistic follow-up care, continuity of care, and long-term surveillance. Survivors'/parents' confidence in physicians may be improved by better involving primary care physicians throughout treatment and early survivorship, and by introducing the concept of eventual transition to adult and primary services. Although physicians are willing to deliver childhood cancer survivorship care, their confidence in doing so may be improved through better communication with tertiary services and more appropriate training.

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Section: Discussionmentioning

confidence: 99%

The Role of Primary Care Physicians in Childhood Cancer Survivorship Care: Multiperspective Interviews

et al. 2018

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“…However, only one third of the patients actually consulted the GP when making decisions about diagnostic methods and treatment of cancer. This could be due to the fact that many patients consider the GP to be not competent enough in the treatment of cancer and feel more comfortable in the care of a specialist in this respect (Ben-Ami et al, 2014;Brandenbarg et al, 2017;Coindard et al, 2016). This contrasts with the fact that the majority of patients would like to have a more active involvement of the GP in cancer care.…”

Section: How Cancer Patients Perceive the Role Of The Gp In Cancer Care In Generalmentioning

confidence: 99%

The role of the general practitioner in cancer care in general and with respect to complementary and alternative medicine for patients with cancer

Vogel

Zomorodbakhsch²,

Stauch

et al. 2021

European J Cancer Care

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Objective: Cancer patients often use complementary and alternative medicine (CAM). The aim of this study was to assess the expectations of cancer patients towards their general practitioner (GP) regarding information on and offers of CAM procedures.Methods: A standardised anonymous questionnaire was developed and handed out to cancer patients in GP practices and oncology clinics in Germany.Results: One hundred and eighty questionnaires were evaluable. For 88.1% of the patients, it was important that their GP regularly receives information on cancer therapy. Only a minority consulted with the GP regarding diagnosis and therapy of the cancer (32.4%) or approached him about side effects of the therapy (46.9%). About one fifth of the GPs offered CAM. Before the cancer diagnosis, only 7% of the patients received a CAM offer from the GP; after the diagnosis, it was 14%. A large majority wanted the GP to offer more complementary (70.9%) and alternative (54.3%) medicine. Conclusion:Our survey points to a clear mismatch of supply and demand regarding CAM for cancer patients in the primary care sector. Training for GPs on scientific evidence of as well as communication skills on CAM will be indispensable in the future to optimise the care of cancer patients by GPs.

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“…Several previous studies have reported on the crucial services provided by general practitioners (GPs) in the context of cancer care, especially regarding the need for collaboration with oncologists [ 8 – 11 ]. In addition, numerous interviews and questionnaires have been conducted with oncologists [ 12 ], GPs [ 13 – 15 ], and patients [ 16 , 17 ], and some studies have shown that home-based palliative care is dependent upon GP competency [ 18 ]. Additionally, research has indicated that cancer survivors benefit from shared care provided by GPs who assist oncologists [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Gap between desired and self-determined roles of general practitioners: a multicentre questionnaire study in Japan

et al. 2021

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Background Primary care physicians have diverse responsibilities. To collaborate with cancer specialists efficiently, they should prioritise roles desired by other collaborators rather than roles based on their own beliefs. No previous studies have reported the priority of roles such clinic-based general practitioners are expected to fulfil across the cancer care continuum. This study clarified the desired roles of clinic-based general practitioners to maximise person-centred cancer care. Methods A web-based multicentre questionnaire in Japan was distributed to physicians in 2019. Physician roles within the cancer care continuum were divided into 12 categories, including prevention, diagnosis, surgery, follow-up with cancer survivors, chemotherapy, and palliative care. Responses were evaluated by the proportion of three high-priority items to determine the expected roles of clinic-based general practitioners according to responding physicians in similarly designated roles. Results Seventy-eight departments (25% of those recruited) from 49 institutions returned questionnaires. Results revealed that some physicians had lower expectations for clinic-based general practitioners to diagnose cancer, and instead expected them to provide palliative care. However, some physicians expected clinic-based general practitioners to be involved in some treatment and survivorship care, though the clinic-based general practitioners did not report the same priority. Conclusion Clinic-based general practitioners prioritised involvement in prevention, diagnoses, and palliative care across the cancer continuum, although lower expectations were placed on them than they thought. Some additional expectations of their involvement in cancer treatment and survivorship care were unanticipated by them. These gaps represent issues that should be addressed.

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What role does the general practitioner in France play among cancer patients during the initial treatment phase with intravenous chemotherapy? A qualitative study

Abstract: Patients' perspectives called attention to two aspects of the role of GPs in the French healthcare system: (a) the importance of GPs within an effective system for managing cancer patients, and (b) for some patients, GPs' relative lack of medical skill compared to oncologists.

Cited by 16 publications

References 21 publications

The Role of Primary Care Physicians in Childhood Cancer Survivorship Care: Multiperspective Interviews

The Role of Primary Care Physicians in Childhood Cancer Survivorship Care: Multiperspective Interviews

The role of the general practitioner in cancer care in general and with respect to complementary and alternative medicine for patients with cancer

Gap between desired and self-determined roles of general practitioners: a multicentre questionnaire study in Japan

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