Trabjerg Theis Bitz, Jensen Lars Henrik, Sondergaard Jens, Wehberg Sonja, Sisler Jeffrey James, Hansen Dorte Gilså
Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark
Department of Oncology, Lillebælt Hospital, University Hospital of Southern Denmark, Vejle, Denmark.
BJGP Open. 2021 Apr 26;5(2). doi: 10.3399/BJGPO.2020.0114. Print 2021 Apr.
Shared care models present an opportunity for patients to receive the benefits of specialist care combined with the continuity of care provided by a GP.
To test the effects on GP-perceived involvement in cancer care and their satisfaction with this cross-sectoral information after bringing the patient, GP, and oncologist together in a shared video consultation.
DESIGN & SETTING: GPs from the Region of Southern Denmark evaluated a randomised controlled trial testing shared video consultations.
This study describes secondary outcomes based on a 4 months' follow-up survey from GPs participating in The Partnership Project (PSP). Patient perception of coordination of care at 7 months' follow-up was the primary outcome of the PSP. A tripartite video consultation was conducted during cancer treatment to share tasks and roles between health professionals with the patient.
The study included 281 patients, and 105 unique GPs returned 124 questionnaires. Video consultations were accomplished in 68% of scheduled cases. The study found an increased odds ratio (OR) of 3.03 for GP satisfaction with the distribution of tasks and roles, and they experienced more involvement in the cancer patients' trajectory. The study found an increased OR of 6.95 for the GP perception of more direct contact and dialogue with the Department of Oncology. There was a decreased OR of 0.88 for the GP to be engaged in handling anxiety and psychological concerns.
The study showed that involving the GP in one shared consultation increased the odds of the GP being satisfied with the distribution of tasks and roles, and feeling more involved in the cancer patient's trajectory. However, recruitment and response rates from GPs were limiting factors.
共享护理模式为患者提供了获得专科护理益处以及全科医生提供的连续护理的机会。
在将患者、全科医生和肿瘤学家召集到一次共享视频会诊后，测试对全科医生所感知的参与癌症护理情况及其对这种跨部门信息的满意度的影响。
来自丹麦南部地区的全科医生对一项测试共享视频会诊的随机对照试验进行了评估。
本研究基于对参与合作项目（PSP）的全科医生进行的为期4个月的随访调查描述了次要结果。PSP的主要结果是患者在7个月随访时对护理协调的感知。在癌症治疗期间进行了三方视频会诊，以在医护人员与患者之间分担任务和角色。
该研究纳入了281名患者，105名不同的全科医生返回了124份问卷。68%的预定病例完成了视频会诊。研究发现，全科医生对任务和角色分配的满意度的优势比（OR）增加了3.03，并且他们在癌症患者的病程中参与度更高。研究发现，全科医生认为与肿瘤学部门有更多直接接触和对话的OR增加了6.95。全科医生处理焦虑和心理问题的OR降低了0.88。
该研究表明，让全科医生参与一次共享会诊增加了全科医生对任务和角色分配感到满意以及在癌症患者病程中参与度更高的几率。然而，全科医生的招募率和回应率是限制因素。
