Suija Kadri, Kordemets Tanel, Annuk Kadi, Kalda Ruth
Department of Family Medicine, University of Tartu, Puusepa 1a-2120, 50406, Tartu, Estonia.
J Cancer Educ. 2016 Mar;31(1):136-41. doi: 10.1007/s13187-015-0834-z.
The aims of this study were to identify the current role of general practitioners (GP) and the unmet needs of cancer patients in primary care. First, we conducted individual interviews with 10 cancer patients. Next, we developed a questionnaire, which was distributed among cancer patients across Estonia. Altogether, 113 questionnaires were returned. We observed that while the patients were satisfied with their GP's work, they mostly preferred to discuss cancer-related problems with oncologists. The role of GPs in regard to other diseases was perceived as very important, also patients found it relevant to consult all investigations with their primary health care physician. The main problems experienced by the patients were a lack of proper accessible information about their disease and its inadequate presentation by doctors, as well as problems with coordination between primary and secondary health care providers. In conclusion, we can say that even treatment of cancer is centralised to oncology clinics, patients also contact their GPs during cancer care. Therefore, GPs should be aware of patients' general health and comorbid medical problems. Better communication between primary and secondary health care doctors as well as more integration of GPs in cancer care is needed.
本研究的目的是确定全科医生（GP）目前的作用以及癌症患者在初级保健中未得到满足的需求。首先，我们对10名癌症患者进行了个人访谈。接下来，我们设计了一份问卷，并在爱沙尼亚的癌症患者中进行了分发。总共收到了113份问卷。我们观察到，虽然患者对其全科医生的工作感到满意，但他们大多更愿意与肿瘤学家讨论与癌症相关的问题。全科医生在其他疾病方面的作用被认为非常重要，患者也认为与他们的初级保健医生商量所有检查是有必要的。患者遇到的主要问题是缺乏关于其疾病的适当可获取信息，医生对疾病的介绍不足，以及初级和二级医疗保健提供者之间的协调问题。总之，我们可以说，即使癌症治疗集中在肿瘤诊所，患者在癌症治疗期间也会联系他们的全科医生。因此，全科医生应该了解患者的总体健康状况和合并的医疗问题。初级和二级医疗保健医生之间需要更好的沟通，并且全科医生需要更多地融入癌症治疗。
