全科医生对癌症治疗后随访的态度：一项横断面问卷调查研究。
General practitioners' attitudes toward follow-up after cancer treatment: A cross-sectional questionnaire study.
作者信息
Fidjeland Heidi Lidal, Brekke Mette, Vistad Ingvild
机构信息
a Department of General Practice , Institute of Health and Society, University of Oslo , Norway ;
b Department of Obstetrics and Gynaecology , Sørlandet Hospital , Kristiansand , Norway.
出版信息
Scand J Prim Health Care. 2015;33(4):223-32. doi: 10.3109/02813432.2015.1118836. Epub 2015 Dec 9.
OBJECTIVE
An increasing number of cancer patients place a significant workload on hospital outpatient clinics, and health authorities are considering alternative follow-up regimens. It has been suggested that follow-up of cancer patients could be provided by GPs. This study aimed to explore GPs' experiences with the provision of follow-up care for cancer patients, and their views on assuming greater responsibility in the future.
DESIGN
Electronic questionnaire study.
SUBJECTS
GPs in seven regions in Norway.
RESULTS
A total of 317 GPs responded. Many GPs reported experience in providing follow-up care to cancer patients, during the years following initial diagnosis primarily in collaboration with hospital specialists. More than half of the GPs were satisfied with their collaboration. Most GPs preferred to be involved at an early stage in follow-up care and, generally, GPs felt confident in their skills to provide this type of service. Fewer than 10% were willing to assume responsibility for additional cancer patients, citing potentially increased workload as the main reason.
CONCLUSIONS
GPs acknowledged the importance of providing follow-up care to cancer patients, and the majority felt confident in their own ability to provide such care. However, they were hesitant to assume greater responsibility primarily due to fears of increased workload. Key Points It has been suggested that follow-up of cancer patients can be provided by general practitioners (GPs). The viewpoints and attitudes of GPs regarding such follow-up were investigated. GPs reported broad experience in providing follow-up care to patients after active cancer treatment. GPs acknowledged the importance of follow-up care, and they felt confident in their own ability to provide such care. Fewer than 10% of GPs were willing to assume responsibility for additional cancer patients, citing potentially increased workload as the main reason.
目的
越来越多的癌症患者给医院门诊带来了巨大的工作量，卫生当局正在考虑替代的随访方案。有人建议，癌症患者的随访工作可由全科医生提供。本研究旨在探讨全科医生提供癌症患者随访护理的经验，以及他们对未来承担更大责任的看法。
设计
电子问卷调查研究。
研究对象
挪威七个地区的全科医生。
结果
共有317名全科医生做出回应。许多全科医生报告了在癌症患者初始诊断后的几年里，主要与医院专家合作提供随访护理的经验。超过一半的全科医生对他们的合作感到满意。大多数全科医生倾向于在随访护理的早期阶段参与其中，总体而言，全科医生对自己提供此类服务的技能充满信心。不到10%的人愿意承担更多癌症患者的责任，主要原因是工作量可能增加。
结论
全科医生认识到为癌症患者提供随访护理的重要性，大多数人对自己提供此类护理的能力充满信心。然而，他们主要由于担心工作量增加而不愿承担更大的责任。要点有人建议，癌症患者的随访工作可由全科医生（GPs）提供。对全科医生关于此类随访的观点和态度进行了调查。全科医生报告了在积极的癌症治疗后为患者提供随访护理的广泛经验。全科医生认识到随访护理的重要性，并且他们对自己提供此类护理的能力充满信心。不到10%的全科医生愿意承担更多癌症患者的责任，主要原因是工作量可能增加。
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