Lizama Natalia, Johnson Claire E, Ghosh Manonita, Garg Neeraj, Emery Jonathan D, Saunders Christobel
WA Cancer and Palliative Care Network, WA Department of Health, East Perth, Western Australia, Australia; School of Surgery, The University of Western Australia, Crawley, Western Australia, Australia.
Asia Pac J Clin Oncol. 2015 Jun;11(2):152-9. doi: 10.1111/ajco.12327. Epub 2015 Jan 6.
To investigate general practitioners' (GP) perceptions about communication when providing cancer care.
A self-report survey, which included an open response section, was mailed to a random sample of 1969 eligible Australian GPs. Content analysis of open response comments pertaining to communication was undertaken in order to ascertain GPs' views about communication issues in the provision of cancer care.
Of the 648 GPs who completed the survey, 68 (10%) included open response comments about interprofessional communication. Participants who commented on communication were a median age of 50 years and worked 33 h/week; 28% were male and 59% practiced in the metropolitan area. Comments pertaining to communication were coded using five non-mutually exclusive categories: being kept in the loop; continuity of care; relationships with specialists; positive communication experiences; and strategies for improving communication.GPs repeatedly noted the importance of receiving detailed and timely communication from specialists and hospitals, particularly in relation to patients' treatment regimes and follow-up care. Several GPs remarked that they were left out of "the information loop" and that patients were "lost" or "dumped" after referral.
While many GPs are currently involved in some aspects of cancer management, detailed and timely communication between specialists and GPs is imperative to support shared care and ensure optimal patient outcomes. This research highlights the need for established channels of communication between specialist and primary care medicine to support greater involvement by GPs in cancer care.
调查全科医生（GP）在提供癌症护理时对沟通的看法。
向1969名符合条件的澳大利亚全科医生随机抽取的样本邮寄了一份自我报告调查问卷，其中包括一个开放式回答部分。对与沟通相关的开放式回答评论进行内容分析，以确定全科医生对提供癌症护理中沟通问题的看法。
在完成调查的648名全科医生中，68名（10%）包括了关于跨专业沟通的开放式回答评论。对沟通进行评论的参与者的中位年龄为50岁，每周工作33小时；28%为男性，59%在大都市地区执业。与沟通相关的评论使用五个非相互排斥的类别进行编码：了解最新情况；护理的连续性；与专科医生的关系；积极的沟通经历；以及改善沟通的策略。全科医生多次指出，从专科医生和医院获得详细和及时的沟通非常重要，特别是在患者的治疗方案和后续护理方面。几位全科医生表示，他们被排除在“信息循环”之外，转诊后患者“失联”或被“抛弃”。
虽然目前许多全科医生参与了癌症管理的某些方面，但专科医生和全科医生之间详细和及时的沟通对于支持共同护理和确保患者获得最佳治疗效果至关重要。这项研究强调了专科医生和基层医疗之间需要建立沟通渠道，以支持全科医生更多地参与癌症护理。
