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Assessing suitability for long-term colorectal cancer shared care: a scenario-based qualitative study

Citation

Vuong, K and Uebel, K and Agaliotis, M and Jun, S and Taggart, J and Suchy, S and Liauw, W and Chin, M and Webber, K and Harris, M, Assessing suitability for long-term colorectal cancer shared care: a scenario-based qualitative study, BMC Family Practice, 21, (1) pp. 1-8. ISSN 1471-2296 (2020) [Refereed Article]


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Copyright 2020 The Author(s) Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.G/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

DOI: doi:10.1186/s12875-020-01311-w

Abstract

Background:Shared care is the preferred model for long-term survivorship care by cancer survivors, general practitioners and specialists. However, survivorship care remains specialist-led. A risk-stratified approach has been proposed to select suitable patients for long-term shared care after survivors have completed adjuvant cancer treatment. This study aims to use patient scenarios to explore views on patient suitability for long-term colorectal cancer shared care across the risk spectrum from survivors, general practitioners and specialists.

Methods: Participants completed a brief questionnaire assessing demographics and clinical issues before a semi-structured in-depth interview. The interviews focused on the participant's view on suitability for long term cancer shared care, challenges and facilitators in delivering it and resources that would be helpful. We conducted thematic analysis using an inductive approach to discover new concepts and themes.

Results:Interviews were conducted with 10 cancer survivors, 6 general practitioners and 9 cancer specialists. The main themes that emerged were patient-centredness, team resilience underlined by mutual trust and stronger system supports by way of cancer-specific training, survivorship care protocols, shared information systems, care coordination and navigational supports.

Conclusions: Decisions on the appropriateness of this model for patients need to be made collaboratively with cancer survivors, considering their trust and relationship with their general practitioners and the support they need. Further research on improving mutual trust and operationalising support systems would assist in the integration of shared survivorship care.

Item Details

Item Type:Refereed Article
Keywords:Capacity building, Colorectal neoplasms, Health communication, Health services, Primary health care, Survivorship.
Research Division:Biomedical and Clinical Sciences
Research Group:Oncology and carcinogenesis
Research Field:Cancer therapy (excl. chemotherapy and radiation therapy)
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Community health care
UTAS Author:Agaliotis, M (Dr Maria Agaliotis)
ID Code:152474
Year Published:2020
Web of Science® Times Cited:1
Deposited By:Medicine
Deposited On:2022-08-19
Last Modified:2022-09-16
Downloads:1 View Download Statistics

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