School of Medicine, University of Wollongong Faculty of Science Medicine and Health, Wollongong, New South Wales, Australia
Radiation Oncology, Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia.
BMJ Open. 2022 Aug 29;12(8):e055460. doi: 10.1136/bmjopen-2021-055460.
The increasing incidence of cancer, coupled with improved survivorship, has increased demand for cancer follow-up care and the need to find alternative models of care. Shared cancer follow-up care in general practice is a safe option in terms of quality of life and cancer recurrence; however, there are barriers to translating this into practice. This review aimed to identify factors that influence the translation of shared cancer follow-up care into clinical practice.
Systematic review. Seven electronic databases: MEDLINE, Science Citation Index, Academic Search Complete, CINAHL, APA Psychinfo, Health Source: Nursing/Academic Edition and Psychology and Behavioural Sciences Collection, were searched for published papers between January 1999 and December 2021. The narrative review included papers if they were available in full-text, English, peer-reviewed and focused on shared cancer follow-up care.
Thirty-eight papers were included in the final review. Five main themes emerged: (1) reciprocal clinical information sharing is needed between oncologists and general practitioners, and needs to be timely and relevant; (2) responsibility of care should be shared with the oncologist overseeing care; (3) general practitioners skills and knowledge to provide cancer follow-up care; (4) need for clinical management guidelines and rapid referral to support general practitioners to provide shared follow-up care and (5) continuity of care and satisfaction of care is vital for shared care.
The acceptability of shared cancer follow-up care is increasing. Several barriers still exist to translating this into practice. Work is required to develop a shared-care model that can support general practitioners, while the oncologist can oversee the care and implement two-way communication between general and oncologists' clinics. The move towards integrating electronic healthcare records and web-based platforms for information exchange provides a promise to the timely exchange of information.
CRD42020191538.
癌症发病率的上升，加上生存时间的延长，增加了对癌症随访护理的需求，并需要寻找替代的护理模式。在一般实践中共享癌症随访护理在生活质量和癌症复发方面是安全的选择；然而，将其转化为实践存在障碍。本综述旨在确定影响共享癌症随访护理转化为临床实践的因素。
系统评价。七个电子数据库：MEDLINE、科学引文索引、学术搜索完整、CINAHL、APA 心理信息、健康源：护理/学术版和心理学与行为科学收藏，对 1999 年 1 月至 2021 年 12 月期间发表的论文进行了搜索。叙述性综述包括如果论文可全文获取、为英文、同行评审且重点关注共享癌症随访护理的论文。
最终综述纳入了 38 篇论文。出现了五个主要主题：（1）肿瘤学家和全科医生之间需要相互交流临床信息，并且需要及时和相关；（2）应与负责护理的肿瘤学家共享护理责任；（3）全科医生提供癌症随访护理的技能和知识；（4）需要临床管理指南和快速转诊，以支持全科医生提供共享随访护理；（5）护理的连续性和护理满意度对于共享护理至关重要。
共享癌症随访护理的可接受性正在提高。将其转化为实践仍然存在一些障碍。需要努力开发一种可以支持全科医生的共享护理模式，同时让肿瘤学家可以监督护理并在全科医生和肿瘤医生诊所之间实施双向沟通。向电子医疗记录和基于网络的信息交换平台的转变为及时信息交换提供了希望。
CRD42020191538。
