Lisy Karolina, Tieu Matthew, Gore Claire, Schofield Penelope, Chan Raymond J, Emery Jon, Martin Andrew, De Abreu Lourenco Richard, Jefford Michael
Department of Health Services Research, Peter MacCallum Cancer Centre, Melbourne, Australia.
Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Melbourne, Australia.
Psychooncology. 2025 Jul;34(7):e70223. doi: 10.1002/pon.70223.
There is a growing body of evidence to support shared survivorship care. The shared care of colorectal cancer survivors (SCORE) randomised controlled trial (RCT) demonstrated that shared care is an appropriate and cost-effective model. Understanding the perspectives of oncologists and general practitioners (GPs) who participated in SCORE will provide crucial insights to support wider implementation of shared care and adoption into clinical practice.
To explore the experiences of oncologists and GPs who provided shared survivorship care for colorectal cancer survivors within the SCORE RCT, focussing on perceptions of acceptability and appropriateness of shared care, and facilitators and barriers to implementation.
This qualitative descriptive study utilised semi-structured interviews for data collection. Interviews were recorded and transcribed, and data analysed by hybrid deductive/inductive thematic analysis.
Interviews from 20 HCPs (13 GPs and 7 oncologists) were analysed. Seven themes were developed describing overall acceptance of the shared care model, the importance and challenges regarding bilateral communication between providers, mixed views on the need for GP training, and patients suitable for shared care. The need to support GPs with a direct hospital-based contact person, as well as clear guidance on their role, was emphasised, as was the need for care coordination and logistical support.
Our study offers novel findings regarding shared care from the perspective of participants who have direct experience with delivering the model. While shared care was broadly supported by both GPs and specialists, successful implementation requires agreed-upon bilateral communication, clear guidance for GPs, and coordination support.
The Shared Care for Colorectal Cancer (SCORE) Trial is registered with the Australian New Zealand Clinical Trials Registry, ACTRN12617000004369p. Registered on 3 January 2017; protocol version 4 approved 24 February 2017.
越来越多的证据支持共同生存护理。结直肠癌幸存者共享护理（SCORE）随机对照试验（RCT）表明，共享护理是一种合适且具有成本效益的模式。了解参与SCORE试验的肿瘤学家和全科医生（GP）的观点，将为支持共享护理的更广泛实施并应用于临床实践提供关键见解。
探讨在SCORE随机对照试验中为结直肠癌幸存者提供共同生存护理的肿瘤学家和全科医生的经验，重点关注对共享护理的可接受性和适当性的看法，以及实施的促进因素和障碍。
这项定性描述性研究采用半结构化访谈收集数据。访谈进行录音和转录，并通过混合演绎/归纳主题分析对数据进行分析。
对20名医疗保健人员（13名全科医生和7名肿瘤学家）的访谈进行了分析。确定了七个主题，描述了对共享护理模式的总体接受度、提供者之间双边沟通的重要性和挑战、对全科医生培训需求的不同看法，以及适合共享护理的患者。强调需要为全科医生提供一名直接的医院联系人，并对其角色给予明确指导，同时也需要护理协调和后勤支持。
我们的研究从直接参与该模式实施的参与者角度提供了关于共享护理的新发现。虽然全科医生和专科医生都广泛支持共享护理，但成功实施需要商定的双边沟通、对全科医生的明确指导以及协调支持。
结直肠癌共享护理（SCORE）试验已在澳大利亚新西兰临床试验注册中心注册，注册号为ACTRN12617000004369p。于2017年1月3日注册；2月24日批准方案版本4。
