Nielsen J D, Palshof T, Olesen F
Aarhus Universitet, Forskningsenheden for Almen Medicin.
Ugeskr Laeger. 1999 Apr 5;161(14):2074-8.
This study identified ideas for an improved collaboration between general practitioners and oncologists regarding patients with cancer. A qualitative research-method with focused group interviews was chosen. The results demonstrated that both oncologists and general practitioners would like the general practitioners to take more active part in the total care programme for cancer patients. Some of the needed improvements were more detailed referral letters including description of treatment plans, information about what the patient had been told and general information about the specific cancer disease. Both parts desire bilateral information exchange and a dialogue about the distribution of tasks. Both parts are willing to collaborate but this is at present restricted due to lack of knowledge of each others' working areas and the oncologists' impression that general practitioners need more medical knowledge regarding specific aspects of cancer. A randomized intervention study using ideas from this study may clarify if it is possible to improve the collaboration and thereby the cancer patients' satisfaction with care.
本研究确定了改善全科医生与肿瘤学家在癌症患者治疗方面合作的思路。研究采用了聚焦小组访谈的定性研究方法。结果表明，肿瘤学家和全科医生都希望全科医生在癌症患者的整体护理计划中发挥更积极的作用。一些需要改进的方面包括更详细的转诊信，其中应包含治疗计划的描述、告知患者的信息以及特定癌症疾病的一般信息。双方都希望进行双向信息交流并就任务分配进行对话。双方都愿意合作，但目前由于对彼此工作领域缺乏了解，以及肿瘤学家认为全科医生在癌症特定方面需要更多医学知识，合作受到了限制。一项采用本研究思路的随机干预研究可能会阐明是否有可能改善合作，从而提高癌症患者对护理的满意度。
