Leese Brenda, Allgar Victoria, Heywood Phil, Walker Reg, Darr Aamra, Din Ikhlaq, West Robert M
Primary Care Research, Centre for Research in Primary Care, University of Leeds, Leeds, UK.
J Nurs Manag. 2006 Sep;14(6):462-71. doi: 10.1111/j.1365-2934.2006.00644.x.
The aim of this study was to evaluate the Primary Care Cancer Lead Clinician initiative in England. One of the objectives was to examine the impact of the Primary Care Cancer Lead Clinicians' clinical background on how they perform their role. This study compares nurses and General Practitioners in the Primary Care Cancer Lead Clinician role.
The Primary Care Cancer Lead Clinician initiative developed from the National Health Service Cancer Plan. Primary Care Cancer Lead Clinicians are expected to work strategically to raise the standards of cancer care within primary care.
A postal questionnaire survey was sent to Primary Care Cancer Lead Clinicians and one manager in each Primary Care Trust in England. Telephonic interviews were also undertaken with a range of stakeholders in six case study areas.
There were striking similarities between nurses and General Practitioners in the Primary Care Cancer Lead Clinician role. Differences related to the wider roles of the two groups. Nurses placed greater emphasis on fitting in whereas General Practitioners were more likely to expect to take charge and look for administrative support.
There is evidence to show that whether the Primary Care Cancer Lead Clinician was a nurse or a General Practitioner was less important than having local credibility and the support of their Primary Care Trust.
本研究旨在评估英格兰的初级保健癌症首席临床医生倡议。目标之一是考察初级保健癌症首席临床医生的临床背景对其履行职责方式的影响。本研究比较了担任初级保健癌症首席临床医生角色的护士和全科医生。
初级保健癌症首席临床医生倡议源自国民健康服务癌症计划。初级保健癌症首席临床医生应从战略角度开展工作，以提高初级保健中的癌症护理水平。
向英格兰每个初级保健信托机构的初级保健癌症首席临床医生和一名管理人员发送了邮政问卷调查。还对六个案例研究地区的一系列利益相关者进行了电话访谈。
担任初级保健癌症首席临床医生角色的护士和全科医生之间存在显著相似之处。差异与两组更广泛的角色有关。护士更强调融入，而全科医生更倾向于期望掌控局面并寻求行政支持。
有证据表明，初级保健癌症首席临床医生是护士还是全科医生，不如在当地拥有信誉以及获得初级保健信托机构的支持重要。
