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[Dangerous liaisons: relation between oncologist and general practitioner].

Jean Bauer1, Serge Leyvraz

  • 1Fondation du Centre pluridisciplinaire d'oncologie, CHUV, 1011 Lausanne. Jean.Bauer@chuv.hospvd.ch

Revue Medicale Suisse
|July 5, 2005
PubMed
Summary

Patient-oncologist relationships can strain patient-general practitioner connections. Improved communication is essential for better care coordination and managing these complex dynamics in patient care.

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Area of Science:

  • Oncology
  • Primary Care Medicine
  • Patient-Physician Relationships

Background:

  • The unique nature of cancer care fosters close patient-oncologist bonds.
  • This close relationship can inadvertently weaken the patient-general practitioner (GP) connection.
  • Patients may defer non-oncological care or consultations to their GP until critical or end-of-life stages.

Purpose of the Study:

  • To review the challenges and potential conflicts arising from the patient-oncologist relationship's impact on primary care.
  • To explore strategies for improving the interaction and collaboration between oncologists and general practitioners.
  • To ensure appropriate family physician involvement and maintain a balanced care continuum.

Main Methods:

  • Literature review of studies examining patient-physician relationships in oncology and primary care.

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  • Analysis of factors influencing communication and information exchange between different healthcare providers.
  • Discussion of potential conflicts and their impact on patient care and coordination.

    • Main Results:

    • The strong patient-oncologist relationship can lead to reduced patient engagement with their GP.
    • Lack of continuous communication between oncologists and GPs can create fragmented care.
    • Potential conflicts may arise regarding treatment decisions and patient management.

    Conclusions:

    • Enhanced communication and information exchange are crucial for balancing care between oncologists and GPs.
    • Strategies to improve collaboration can strengthen the role of the family physician in cancer care.
    • Addressing these dynamics is essential for comprehensive and coordinated patient management.