Sandell Tiffany, Schütze Heike, Miller Andrew
Wollongong Hospital, Wollongong, Australia.
University of Wollongong, Wollongong, Australia.
JMIR Res Protoc. 2021 Jan 19;10(1):e21752. doi: 10.2196/21752.
The rising incidence of cancer and increasing numbers of cancer survivors have resulted in the need to find alternative models of care for cancer follow-up care. The acceptability for follow-up care in general practice is growing, and acceptance increases with shared-care models where oncologists continue to oversee the care. However, a major barrier to this model is the effective exchange of information in real time between oncologists and general practitioners. Improved communication technology plays an important role in the acceptability and feasibility of shared cancer follow-up care.
The aim of this study is to evaluate the feasibility and acceptability of a shared cancer follow-up model of care between patients, general practitioners and radiation oncologists.
This is a mixed methods, multisite implementation study exploring shared follow-up care for breast, colorectal, and prostate cancer patients treated with curative radiotherapy in New South Wales, Australia. This study uses web-based technology to support general practitioners in performing some aspects of routine radiotherapy follow-up care, while being overseen by a radiation oncologist in real time. The study has two phases: Phase 1 is designed to establish the level of agreement between general practitioners and radiation oncologists and Phase 2 is designed to implement shared follow-up care into practice and to evaluate this implementation.
Recruitment of radiation oncologists, patients, and general practitioners commenced in December 2020 and will continue until February 2021. Data collection will occur during 2021, and data will be ready for analysis by the end of 2021.
Few studies have investigated the role of health technologies in supporting communication deficiencies for shared cancer follow-up care. The implementation and evaluation of models of care need to be conducted using a person-centered approach that is responsive to patients' preferences and needs. Should the findings of the study be acceptable and feasible to radiation oncologists, general practitioners, and patients, it can be quickly implemented and expanded to other tumor groups or to medical oncology and hematology.
Australian New Zealand Clinical Trials Registry ACTRN12620001083987; http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380057.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/21752.
癌症发病率的上升以及癌症幸存者数量的增加，使得有必要寻找癌症后续护理的替代模式。全科医疗中后续护理的可接受性正在提高，并且在肿瘤学家继续监督护理的共享护理模式下，接受度会进一步增加。然而，这种模式的一个主要障碍是肿瘤学家和全科医生之间实时有效地信息交流。改进的通信技术在共享癌症后续护理的可接受性和可行性方面发挥着重要作用。
本研究的目的是评估患者、全科医生和放射肿瘤学家之间共享癌症后续护理模式的可行性和可接受性。
这是一项混合方法的多地点实施研究，探索在澳大利亚新南威尔士州接受根治性放疗的乳腺癌、结直肠癌和前列腺癌患者的共享后续护理。本研究使用基于网络的技术来支持全科医生进行常规放疗后续护理的某些方面，同时由放射肿瘤学家进行实时监督。该研究有两个阶段：第1阶段旨在确定全科医生和放射肿瘤学家之间的一致程度，第2阶段旨在将共享后续护理付诸实践并评估这一实施情况。
放射肿瘤学家、患者和全科医生的招募于2020年12月开始，将持续到2021年2月。数据收集将在2021年进行，数据将在2021年底准备好进行分析。
很少有研究调查健康技术在支持共享癌症后续护理中的沟通缺陷方面的作用。护理模式的实施和评估需要采用以人为本的方法，以响应患者的偏好和需求。如果该研究的结果对放射肿瘤学家、全科医生和患者来说是可接受且可行的，那么它可以迅速实施并扩展到其他肿瘤组或医学肿瘤学和血液学领域。
澳大利亚新西兰临床试验注册中心ACTRN12620001083987；http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380057。
国际注册报告识别号（IRRID）：PRR1-10.2196/21752。
