From Stephenson Cancer Center, College of Medicine, Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK (MPD); College of Medicine, Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK (ZN); Stephenson Cancer Center, Hudson College of Public Health, Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City, OK (YDZ); Fran and Earl Ziegler College of Nursing, University of Oklahoma Health Sciences Center, Oklahoma City, OK (KD).
J Am Board Fam Med. 2022 Mar-Apr;35(2):329-340. doi: 10.3122/jabfm.2022.02.210286.
Coordination between oncology and primary care practices in cancer survivorship is lacking.
To identify cancer care coordination perceptions, knowledge, and practices in a sample of Oklahoma oncology care providers (ONCs) and primary care providers (PCPs) regarding post-treatment care of adult cancer survivors.
Cross-sectional, statewide survey by mail/web link in 2014/5.
PCPs identified through a primary care research network, primary care organization membership lists; ONCs identified through www.Healthgrades.com.
Contacts who were clinically active and seeing cancer patients were eligible. The final sample size included 101 ONCs and 58 PCPs who reported actively seeing cancer patients.
Responses to predominately Likert scale or ranked-order questions derived from the Survey of Physician Attitudes Regarding the Care of Cancer Survivors.
Chi square and tests were performed to test bivariate associations between provider type and survey measures.
Statistically significant differences ( < ) between ONC and PCP perceptions were observed for several questions on communication between the 2 provider types, ONC perceptions of PCP ability to address survivorship care, and responsibilities for post-treatment care.
Highly discrepant perspectives between ONCs and PCPs regarding communications and responsibilities for survivorship care may lead to adverse health outcomes. Interventions aimed at improving care coordination for cancer survivors should define each provider group's responsibilities in survivorship care, and create structures and processes that foster clear channels of communication between ONC and PCP practices.
癌症患者康复阶段的肿瘤学和初级保健实践之间缺乏协调。
在俄克拉荷马州的肿瘤学护理提供者（ONC）和初级保健提供者（PCP）中，确定针对成人癌症幸存者治疗后护理的癌症护理协调感知、知识和实践。
2014 年 5 月通过邮件/网络链接进行的横断面、全州范围的调查。
通过初级保健研究网络、初级保健组织成员名单确定 PCP；通过 www.Healthgrades.com 确定 ONC。
有临床活动且正在看癌症患者的联系人符合条件。最终样本包括 101 名 ONC 和 58 名报告积极看癌症患者的 PCP。
对主要来自《医师对癌症幸存者护理态度调查》的李克特量表或排序问题的回答。
进行了卡方和 t 检验，以检验提供者类型和调查措施之间的双变量关联。
在两种提供者类型之间的沟通、ONC 对 PCP 处理生存护理能力的看法以及治疗后护理的责任等几个问题上，ONC 和 PCP 的看法存在统计学显著差异（<0.05）。
ONC 和 PCP 对沟通和生存护理责任的看法存在很大差异，可能导致不良的健康结果。旨在改善癌症幸存者护理协调的干预措施应明确界定每个提供者群体在生存护理中的责任，并建立促进 ONC 和 PCP 实践之间清晰沟通渠道的结构和流程。
