Purpose: To clarify experiences and preferences of patients regarding the current and future role of GPs during treatment and follow-up care of colorectal cancer (CRC). Methods: Qualitative semi-structured, audio-recorded, face-to-face interviews in patients' homes in the north of the Netherlands were performed. Patients were sampled purposively on age, gender, time since diagnoses and primary health care use. Data were transcribed verbatim and analysed thematically by two independent researchers until saturation was reached. Results: Twenty-two patients were interviewed. GPs played a significant and highly valued role directly after surgery by proactively contacting their patients and offered support in clarification of medical issues, lifestyle advice and care for treatment-related side effects. During follow-up, GPs provided psychosocial support for patients and family members, besides routine health care. Concerning the organization of future follow-up care, most patients expressed a preference for specialist-led services; some said that primary care-led care would be more accessible and less expensive. Conclusion: Although at present patients perceived their GP is involved in CRC care, they would prefer their follow-up care in a hospital setting. If, in line with recent insights, future follow-up care might become more relying on testing for markers instead of imaging, there may be scope for incorporating this care in current GP routines.
Purpose: To clarify experiences and preferences of patients regarding the current and future role of GPs during treatment and follow-up care of colorectal cancer (CRC). Methods: Qualitative semi-structured, audio-recorded, face-to-face interviews in patients' homes in the north of the Netherlands were performed. Patients were sampled purposively on age, gender, time since diagnoses and primary health care use. Data were transcribed verbatim and analysed thematically by two independent researchers until saturation was reached. Results: Twenty-two patients were interviewed. GPs played a significant and highly valued role directly after surgery by proactively contacting their patients and offered support in clarification of medical issues, lifestyle advice and care for treatment-related side effects. During follow-up, GPs provided psychosocial support for patients and family members, besides routine health care. Concerning the organization of future follow-up care, most patients expressed a preference for specialist-led services; some said that primary care-led care would be more accessible and less expensive. Conclusion: Although at present patients perceived their GP is involved in CRC care, they would prefer their follow-up care in a hospital setting. If, in line with recent insights, future follow-up care might become more relying on testing for markers instead of imaging, there may be scope for incorporating this care in current GP routines.
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Authors: Inger L Abma; Lianne C G Roelofs; Marion B van der Kolk; Sasja F Mulder; Henk J Schers; Rosella P M G Hermens; Philip J van der Wees Journal: Eur J Cancer Care (Engl) Date: 2022-04-13 Impact factor: 2.328
Authors: Deborah N Lo-Fo-Wong; Hanneke C de Haes; Neil K Aaronson; Doris L van Abbema; Jolien M Admiraal; Mathilda D den Boer; Marjan van Hezewijk; Marcelle Immink; Ad A Kaptein; Marian B Menke-Pluijmers; Nicola S Russell; Manon Schriek; Sieta Sijtsema; Geertjan van Tienhoven; Mirjam A Sprangers Journal: Fam Pract Date: 2020-02-19 Impact factor: 2.267
Authors: Sarah Milosevic; Natalie Joseph-Williams; Bethan Pell; Elizabeth Cain; Robyn Hackett; Ffion Murdoch; Haroon Ahmed; A Joy Allen; Alison Bray; Emma Thomas-Jones; Chris Harding; Adrian Edwards Journal: Br J Gen Pract Date: 2021-08-26 Impact factor: 6.302