Worster A, Bass M J, Wood M L
Department of Family Medicine, University of Western Ontario, London.
Can Fam Physician. 1996 Feb;42:263-8.
To identify the experience and willingness of family physicians to accept follow-up care of patients treated for stage I breast cancer.
Mailed questionnaire.
One hundred eighty-nine family physicians in southwestern Ontario with oversampling of female physicians and physicians practising more than 20 km from a cancer clinic.
Willingness to follow breast cancer patients and time after treatment family physicians would be willing to begin follow-up care.
We had an 81.5% response rate. Of the 154 respondents, 53% had been involved previously in the 5-year, follow-up care of a patient with breast cancer and 77.1% believed it appropriate for family physicians to assume responsibility for follow-up care in all or most cases. If asked by a patient, the family, or an oncologist to provide follow-up care, 90.1% of family physicians reported they would accept this responsibility. Willingness to follow breast cancer patients was not associated with sex, years in practice, proximity to a cancer clinic, or certification status but was associated with having previously provided such care (P = .043). Of those willing to care for these patients, almost 90% would prefer to start within 1 year of treatment.
Although only half the respondents had experience in providing follow-up care to breast cancer patients, most were willing to take on this role, especially if asked.
确定家庭医生接受对I期乳腺癌患者进行后续护理的经验和意愿。
邮寄问卷调查。
安大略省西南部的189名家庭医生，其中女性医生以及距离癌症诊所超过20公里执业的医生为过度抽样。
跟踪乳腺癌患者的意愿以及治疗后家庭医生愿意开始后续护理的时间。
我们的回复率为81.5%。在154名受访者中，53%曾参与过乳腺癌患者的5年后续护理，77.1%认为家庭医生在所有或大多数情况下承担后续护理责任是合适的。如果患者、家属或肿瘤学家要求提供后续护理，90.1%的家庭医生表示他们会接受这项责任。跟踪乳腺癌患者的意愿与性别、执业年限、与癌症诊所的距离或认证状态无关，但与之前提供过此类护理有关（P = 0.043）。在愿意护理这些患者的人中，近90%希望在治疗后1年内开始。
虽然只有一半的受访者有过为乳腺癌患者提供后续护理的经验，但大多数人愿意承担这一角色，尤其是在被要求的情况下。
