Knowledge and self-efficacy for caring for breast and colon cancer survivors among safety net primary care providers.
Aftercare
Attitude of Health Personnel
Breast Neoplasms
/ diagnosis
Cancer Survivors
Colonic Neoplasms
/ diagnosis
Continuity of Patient Care
Female
Humans
Knowledge
Male
Middle Aged
Physicians, Primary Care
/ psychology
Primary Health Care
/ methods
San Francisco
Self Efficacy
Surveys and Questionnaires
Cancer survivorship care
Primary care providers
Safety net
Shared care model
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
14
07
2019
accepted:
23
12
2019
pubmed:
6
2
2020
medline:
21
10
2020
entrez:
5
2
2020
Statut:
ppublish
Résumé
Primary care providers (PCPs) are critical to the provision of comprehensive care for cancer survivors, yet there is very little data on the practices and quality of survivorship care occurring in safety net primary care settings. This study aimed to assess the knowledge and attitudes of PCPs and preferences for care models for breast and colon cancer survivors in a safety net health network. A modified National Cancer Institute Survey of Physician Attitudes Regarding the Care of Cancer Survivors was sent electronically to 220 PCPs in 12 primary care clinics in the San Francisco Health Network affiliated with Zuckerberg San Francisco General Hospital and Trauma Center. The response rate was 50% (110/220). About half of PCPs strongly/somewhat agreed (vs. strongly/somewhat disagreed) that PCPs have the knowledge needed to provide follow-up care related to breast (50%) and colon cancer (54%). Most providers (93%) correctly reported recommended frequency of mammography, however, frequency of blood tests and other imaging surveillance were not as well recognized for breast or colon cancer. Recognition of long-term side effects of chemotherapy drugs ranged from 12% for oxaliplatin to 44% for doxorubicin. Only 33% of providers reported receiving any survivorship training. The most preferred model for survivorship care was shared care model (40%). Safety net PCPs prefer a shared care model for care of cancer survivors but are limited by lack of training, poor communication, and poor delineation of roles. Patient-centered survivorship care can be improved through effective oncologist-PCP-patient partnerships and coordination.
Sections du résumé
BACKGROUND
BACKGROUND
Primary care providers (PCPs) are critical to the provision of comprehensive care for cancer survivors, yet there is very little data on the practices and quality of survivorship care occurring in safety net primary care settings. This study aimed to assess the knowledge and attitudes of PCPs and preferences for care models for breast and colon cancer survivors in a safety net health network.
METHODS
METHODS
A modified National Cancer Institute Survey of Physician Attitudes Regarding the Care of Cancer Survivors was sent electronically to 220 PCPs in 12 primary care clinics in the San Francisco Health Network affiliated with Zuckerberg San Francisco General Hospital and Trauma Center.
RESULTS
RESULTS
The response rate was 50% (110/220). About half of PCPs strongly/somewhat agreed (vs. strongly/somewhat disagreed) that PCPs have the knowledge needed to provide follow-up care related to breast (50%) and colon cancer (54%). Most providers (93%) correctly reported recommended frequency of mammography, however, frequency of blood tests and other imaging surveillance were not as well recognized for breast or colon cancer. Recognition of long-term side effects of chemotherapy drugs ranged from 12% for oxaliplatin to 44% for doxorubicin. Only 33% of providers reported receiving any survivorship training. The most preferred model for survivorship care was shared care model (40%).
CONCLUSIONS
CONCLUSIONS
Safety net PCPs prefer a shared care model for care of cancer survivors but are limited by lack of training, poor communication, and poor delineation of roles. Patient-centered survivorship care can be improved through effective oncologist-PCP-patient partnerships and coordination.
Identifiants
pubmed: 32016600
doi: 10.1007/s00520-019-05277-z
pii: 10.1007/s00520-019-05277-z
pmc: PMC7396282
mid: NIHMS1555972
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
4923-4931Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR001105
Pays : United States
Organisme : NCI NIH HHS
ID : K24 CA212294
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG15272
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG015272
Pays : United States
Organisme : NIH HHS
ID : K24 CA212294-01
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG15272
Pays : United States
Organisme : NIH HHS
ID : K24 CA212294-01
Pays : United States
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