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全科医生在癌症护理中的作用以及扩展信息程序的效果。

The role of the general practitioner in cancer care and the effect of an extended information routine.

作者信息

Johansson B, Berglund G, Hoffman K, Glimelius B, Sjöden P O

机构信息

Department of Public Health and Caring Sciences, Uppsala University, Sweden.

出版信息

Scand J Prim Health Care. 2000 Sep;18(3):143-8. doi: 10.1080/028134300453331.

Abstract

OBJECTIVE

To describe the role of the General Practitioner (GP) in the care of one specified cancer patient per GP, and to explore the GP's knowledge about that patient's disease and treatments, and what information she/he wanted versus received from the specialist clinic. A further aim was to evaluate the effects of an Extended Information Routine (EIR), including increased information from the specialist clinic to the GP.

DESIGN

Semi-structured interviews with GPs about a patient randomised between an extended information routine and standard information from the specialist clinics.

SETTINGS

Primary Health Care.

SUBJECTS

20 GPs, 10 who received extended information about the specified patient and 10 who did not.

MAIN OUTCOME MEASURES

The extent of GPs' contact with the patient, GPs' potential or actual possibilities to support the patient, desired and received information from the specialist clinic.

RESULTS AND CONCLUSIONS

GPs are commonly involved in the care of cancer patients, particularly in the diagnostics of the disease but also during the periods of treatment and follow-up. The information from the specialist clinic to the GP is insufficient in standard care. The extended information routine increased the GPs' knowledge of the disease and treatments, and facilitated their possibilities to determine patients' need for support.

摘要

目的

描述全科医生(GP)在每位全科医生负责的一名特定癌症患者护理中的作用,探讨全科医生对该患者疾病及治疗的了解程度,以及其希望从专科诊所获得与实际获得的信息。另一个目的是评估扩展信息程序(EIR)的效果,包括增加专科诊所向全科医生提供的信息。

设计

对全科医生进行半结构化访谈,访谈对象为一名在扩展信息程序组与来自专科诊所的标准信息组之间随机分组的患者。

背景

初级卫生保健。

研究对象

20名全科医生,其中10名获得了关于特定患者的扩展信息,10名未获得。

主要观察指标

全科医生与患者的接触程度、全科医生支持患者的潜在或实际可能性、期望从专科诊所获得及实际获得的信息。

结果与结论

全科医生通常参与癌症患者的护理,尤其是在疾病诊断阶段,但在治疗和随访期间也会参与。在标准护理中,专科诊所向全科医生提供的信息不足。扩展信息程序增加了全科医生对疾病和治疗的了解,并有助于他们确定患者对支持的需求。

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