Grunfeld E, Mant D, Vessey M P, Fitzpatrick R
Department of Public Health and Primary Care, University of Oxford, Radcliffe Infirmary, UK.
Fam Pract. 1995 Mar;12(1):60-5. doi: 10.1093/fampra/12.1.60.
The practice of routinely following-up breast cancer in hospital clinics is of widespread concern: studies have shown that it is not an effective way of detecting recurrent disease and it places great strain on cancer services which are already overstretched. A general practice centred system of routine follow-up may be a solution to this problem in those countries which have a strong primary care base. Such a system would have other benefits such as continuity of care for the patient. The objective of this study was to determine the views of general practitioners and specialists on follow-up of patients with breast cancer in remission, with special emphasis on their views on the transfer of routine follow-up from the hospital to general practice. A postal questionnaire survey of British breast cancer specialists (response rate 77.0%) and a personal interview survey of British general practitioners (response rate 81.8%) were conducted. The results show that British general practitioners are willing to take on greater responsibility for the routine follow-up care of their patients with breast cancer. However, there was frequently a mis-match between specialists' and general practitioners' views on this subject.
研究表明，这并非检测复发性疾病的有效方式，而且给本就不堪重负的癌症服务带来了巨大压力。在那些拥有强大基层医疗基础的国家，以全科医疗为中心的常规随访系统可能是解决这一问题的办法。这样的系统还会有其他益处，比如为患者提供持续护理。本研究的目的是确定全科医生和专科医生对缓解期乳腺癌患者随访的看法，特别强调他们对将常规随访从医院转移至全科医疗的看法。对英国乳腺癌专科医生进行了邮寄问卷调查（回复率77.0%），并对英国全科医生进行了个人访谈调查（回复率81.8%）。结果显示，英国全科医生愿意对其乳腺癌患者的常规随访护理承担更大责任。然而，在这个问题上，专科医生和全科医生的观点常常存在分歧。
