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General Practitioners' Experiences With Implementing Colon or Prostate Cancer Survivorship Care in Primary Care: A
Julien A M Vos1,2, Barbara M Wollersheim3, Henk C P M van Weert1,2
1Amsterdam UMC, University of Amsterdam, Department of General Practice, Amsterdam, the Netherlands.
JCO Oncology Practice
|December 2, 2024
Summary
General practitioners (GPs) see value in cancer survivorship care, but readiness varies by cancer type. Prostate cancer survivorship care is more feasible for GPs to implement than colon cancer care.
Area of Science:
- Oncology
- Primary Care Medicine
- Health Services Research
Background:
- Cancer survivorship care is increasingly important as survival rates improve.
- General practitioners (GPs) play a crucial role in providing ongoing care for cancer survivors.
- The optimal model for delivering survivorship care, whether GP-led or specialist-led, requires further investigation.
Purpose of the Study:
- To assess general practitioners' (GPs) experiences and readiness for providing cancer survivorship care.
- To explore factors influencing the implementation of GP-led survivorship care models.
- To compare GP experiences between prostate and colon cancer survivorship care.
Main Methods:
- A cross-sectional survey using an adapted Normalisation Measure Development (NoMAD) tool was conducted.
- The study involved 214 general practitioners (GPs) participating in randomized-controlled trials in the Netherlands.
- The survey assessed GPs' experiences, willingness, perceived appropriateness, and integration of survivorship care into primary care.
Main Results:
- GPs reported moderate overall experiences with survivorship care (Prostate: 7.0/10, Colon: 6.4/10).
- Willingness and perceived appropriateness were lower for colon cancer survivorship care compared to prostate cancer.
- GPs agreed on the value for patients but had mixed views on its value for their own work; financial compensation was deemed necessary.
Conclusions:
- General practitioners (GPs) acknowledge the importance of cancer survivorship care for patients.
- Implementation feasibility differs significantly between cancer types, with prostate cancer care appearing more readily embeddable in primary care.
- Further research and support are needed to optimize GP involvement in comprehensive cancer survivorship care.
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