Brennan Meagan, Butow Phyllis, Spillane Andrew J, Marven Michelle, Boyle Fran M
The Patricia Ritchie Centre for Cancer Care and Research, The Mater Hospital, New South Wales.
Aust Fam Physician. 2011 May;40(5):311-6.
Survivorship care after breast cancer treatment is increasingly complex as it aims to manage the long term effects of cancer and its treatment, including psychosocial needs. While survivorship care is traditionally delivered by surgeons and specialist oncologists in Australia, general practitioners are ideally placed to manage these issues.
This study explored the attitudes of 20 breast cancer survivors to GP involvement in follow up care through semi-structured telephone interviews, which were analysed using qualitative methods.
Women were reluctant to change from specialist based care but identified many potential benefits of GP involvement in long term cancer care. They expressed an interest in shared care programs between specialists and GPs. Some participants thought that additional training may be required if GPs were to deliver this care.
This study shows cautious interest from breast cancer survivors for increasing GP involvement in follow up care. These views should be considered as alternative models of care are developed.
乳腺癌治疗后的生存护理日益复杂，因为其旨在应对癌症及其治疗的长期影响，包括心理社会需求。在澳大利亚，传统上生存护理由外科医生和肿瘤专科医生提供，但全科医生在管理这些问题方面具有理想的条件。
本研究通过半结构化电话访谈探讨了20名乳腺癌幸存者对全科医生参与后续护理的态度，并采用定性方法进行分析。
女性不愿意从专科护理转向，但认识到全科医生参与长期癌症护理有许多潜在益处。她们对专科医生和全科医生之间的共享护理计划表示感兴趣。一些参与者认为，如果全科医生要提供这种护理，可能需要额外的培训。
本研究表明乳腺癌幸存者对增加全科医生参与后续护理持谨慎态度。在制定替代护理模式时应考虑这些观点。
