Proactive cancer care in primary care: a mixed-methods study.

Area of Science:

• Oncology
• Primary Care Medicine
• Health Services Research

Background:

• Current post-treatment cancer care models lack evidence-based benefit, relying on tradition and clinician preference.
• There is a need for structured, evidence-based approaches to cancer follow-up care.

Purpose of the Study:

• To evaluate the feasibility of a structured template for holistic patient follow-up in primary care from cancer diagnosis.
• To assess the utility of a cancer ongoing review document (CORD) in primary care settings.

Main Methods:

• A two-phase mixed methods action research project.
• Development and implementation of an electronic cancer ongoing review document (CORD) with patients and GPs.
• Evaluation through documentary analysis, qualitative interviews, and record reviews.

Main Results:

• The CORD was initiated in 54% of newly diagnosed cancer patients, documenting multidimensional needs.
• GPs found the CORD structured consultations and addressed psychosocial aspects.
• GPs desired better integration into electronic medical records with computerized prompts.

Conclusions:

• Anticipatory cancer care in primary care is feasible and acceptable to UK patients, despite barriers.
• The CORD process promoted continuity of care and a holistic approach.
• Proactive cancer care systems in general practice, supported by specialists, can facilitate survivorship care delivery.