Yi Jean C, Walsh Casey A, Chow Eric J, Baker K Scott, Mendoza Jason A, Cole Allison
Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
J Cancer Surviv. 2025 Jun 23. doi: 10.1007/s11764-025-01852-y.
To enhance survivorship care, we explored primary care providers' (PCPs) preferences and needs related to treatment summary and survivorship care plans (TS/SCPs) as a communication tool and PCPs' general thoughts related to barriers in managing the care of cancer survivors.
We conducted semi-structured qualitative interviews via video with PCPs within primary care practice networks in the Pacific Northwest. A codebook was developed with the interview guide as a template. Directed content analysis was used to analyze PCP reported challenges, supports needed, and TS/SCP feedback.
Qualitative interviews were conducted with 18 PCPs. The majority were female (72%) and non-Hispanic White (94%), with 56% from urban areas and with varied amounts of time in clinical practice (median 4.5 years, range 0.5-47). PCPs reported common challenges caring for cancer survivors (e.g., unsure what surveillance is needed) and supports needed to improve care (e.g., further PCP education). PCPs also described preferred information to include in TS/SCPs (e.g., surveillance schedule) and format (e.g., in the electronic health record). They also reported that e-consultation could be useful in communication with other health care providers about any questions, CONCLUSIONS: PCPs want further education and support about cancer surveillance guidelines and managing long-term effects in survivors. Having TS/SCP information easy to find in the EHR was mentioned by the PCPs as something that would improve their care of cancer survivors.
Providing PCPs with more education and tools in the EHR could lead to improved care of cancer survivors.
为加强癌症生存者护理，我们探讨了初级保健提供者（PCP）对作为沟通工具的治疗总结和癌症生存者护理计划（TS/SCPs）的偏好与需求，以及PCP对管理癌症生存者护理过程中障碍的总体看法。
我们通过视频对太平洋西北地区初级保健实践网络中的PCP进行了半结构化定性访谈。以访谈指南为模板制定了编码手册。采用定向内容分析法分析PCP报告的挑战、所需支持以及TS/SCP反馈。
对18名PCP进行了定性访谈。大多数为女性（72%）且是非西班牙裔白人（94%），56%来自城市地区，临床实践时间各不相同（中位数4.5年，范围0.5 - 47年）。PCP报告了在护理癌症生存者方面的常见挑战（如不确定需要何种监测）以及改善护理所需的支持（如进一步的PCP教育）。PCP还描述了TS/SCPs中应包含的首选信息（如监测时间表）和格式（如电子健康记录中的格式）。他们还报告说，电子咨询在与其他医疗保健提供者就任何问题进行沟通时可能会有用。结论：PCP希望获得有关癌症监测指南以及管理生存者长期影响方面的进一步教育和支持。PCP提到在电子健康记录中易于查找TS/SCP信息将改善他们对癌症生存者的护理。
在电子健康记录中为PCP提供更多教育和工具可能会改善对癌症生存者的护理。
