Kane Paul, Jasperse Marieke, Egan Richard, McBain Lynn, McKinlay Eileen, Pullon Susan, Herst Patries
Department of Radiation Therapy, University of Otago, Wellington.
Department of Primary Care and General Practice, University of Otago, Wellington.
N Z Med J. 2016 Aug 19;129(1440):55-63.
As cancer treatments become more effective, increasing numbers of cancer patients seek long-term support from general practice. This study aimed to canvass the perspective of GPs on issues around continuity of care for these patients.
In this qualitative study purposive sampling was used to invite a range of New Zealand GPs from urban and rural communities in the Greater Wellington and Otago/Southland areas to participate. A total of 34 GPs took part in three semi-structured individual interviews and six focus groups.
Six main themes emerged; the participating GPs noted they wanted more involvement in their patients' cancer journeys but were not always clear of their place in relation to cancer specialists and other health care providers. They saw cancer as a chronic condition to be managed long term. They mentioned the breast cancer and palliative care models as examples to be followed. Poor communication and barriers for patients in accessing GP care were seen as areas for improvement.
Participating GPs felt that the current cancer care pathway could be improved with a better understanding of their own role and through improved communication with patients, cancer specialists and other health professionals.
随着癌症治疗变得更加有效，越来越多的癌症患者寻求全科医疗的长期支持。本研究旨在探讨全科医生对这些患者连续性护理问题的看法。
在这项定性研究中，采用目的抽样法邀请了来自大惠灵顿地区和奥塔哥/南地地区城乡社区的一系列新西兰全科医生参与。共有34名全科医生参加了三次半结构化的个人访谈和六个焦点小组。
出现了六个主要主题；参与的全科医生指出，他们希望更多地参与患者的癌症治疗过程，但对于自己相对于癌症专科医生和其他医疗服务提供者的角色并不总是清楚。他们将癌症视为一种需要长期管理的慢性病。他们提到乳腺癌和姑息治疗模式为例以供效仿。沟通不畅以及患者获得全科医疗服务的障碍被视为有待改进的方面。
参与的全科医生认为，通过更好地理解自身角色以及改善与患者、癌症专科医生和其他医疗专业人员的沟通，当前的癌症护理途径可以得到改善。
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