Engler Jennifer, Kone Insa, Holmberg Christine, Baumann Walter, Siebenhofer Andrea, Güthlin Corina
Institute of General Practice, Goethe University Frankfurt, Frankfurt, Germany.
Institute of Public Health, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Fam Pract. 2017 Nov 16;34(6):730-734. doi: 10.1093/fampra/cmx044.
Integrated cancer care requires cooperation between specialists and general practitioners (GPs). Mutual understanding of each other's tasks and responsibilities is essential if cooperation is to be successful. While GPs' opinions about oncologists have been addressed in previous studies, less is known about oncologists' views on the role of GPs' in cancer care, especially with regard to GPs' patient-centred, communication-based tasks.
To assess oncologists' views on the importance of GPs for cancer patients.
We conducted 15 qualitative guideline-based telephone interviews with oncologists using open-ended questions and analysed these interviews using thematic analysis.
Oncologists situated GPs as persons of trust for patients in a rather amicable sphere of caring in contrast to themselves who were situated in a rather biomedical sphere of evidence-based treatment decisions. Oncologists' appraisal of an overlapping of these spheres varied: While most stressed opportunities for patients (and themselves), others also mentioned risks.
Our analysis found that oncologists clearly distinguish between their own sphere of evidence-based treatment decision-making and GPs' sphere of psychosocial caring. The question remains how these roles get interconnected in real life situations in order to meet patients' needs adequately. So far it seems that it is often the patient who is travelling between both spheres and needs to initiate interconnection to get comprehensive cancer care.
癌症综合治疗需要专科医生和全科医生（GP）之间的合作。若要合作成功，相互理解彼此的任务和职责至关重要。虽然先前的研究探讨了全科医生对肿瘤学家的看法，但对于肿瘤学家对全科医生在癌症治疗中作用的看法，尤其是在全科医生以患者为中心、基于沟通的任务方面，了解较少。
评估肿瘤学家对全科医生对癌症患者重要性的看法。
我们对肿瘤学家进行了15次基于定性指南的电话访谈，采用开放式问题，并使用主题分析法对这些访谈进行分析。
与处于基于证据的治疗决策的生物医学领域的肿瘤学家相比，全科医生在一个相当友好的关怀领域中被肿瘤学家视为患者信任的对象。肿瘤学家对这些领域重叠的评价各不相同：虽然大多数人强调了对患者（以及他们自己）的机会，但其他人也提到了风险。
我们的分析发现，肿瘤学家清楚地区分了他们自己基于证据的治疗决策领域和全科医生的心理社会关怀领域。问题仍然是，在现实生活中这些角色如何相互联系，以便充分满足患者的需求。到目前为止，似乎通常是患者在两个领域之间穿梭，需要发起联系以获得全面的癌症治疗。
