Cancer survivorship care and general practice: A qualitative study of roles of general practice team members in Australia
2021; Wiley; Volume: 30; Issue: 4 Linguagem: Inglês
10.1111/hsc.13549
ISSN1365-2524
AutoresJennifer Fox, Carla Thamm, Geoffrey Mitchell, Jon Emery, Joel Rhee, Nicolas H. Hart, Patsy Yates, Michael Jefford, Bogda Koczwara, Elizabeth Halcomb, Raylene Steinhardt, Roslyn O’Reilly, Raymond J. Chan,
Tópico(s)Childhood Cancer Survivors' Quality of Life
ResumoHealth & Social Care in the CommunityEarly View ORIGINAL ARTICLE Cancer survivorship care and general practice: A qualitative study of roles of general practice team members in Australia Jennifer Fox, Jennifer Fox Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia School of Nursing, Queensland University of Technology, Brisbane, Qld, AustraliaSearch for more papers by this authorCarla Thamm, Carla Thamm orcid.org/0000-0003-0250-1848 Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia School of Nursing, Queensland University of Technology, Brisbane, Qld, AustraliaSearch for more papers by this authorGeoff Mitchell, Geoff Mitchell orcid.org/0000-0001-7817-6821 Limestone Medical Centre, Ipswich, Qld, Australia Primary Care Clinical Unit, University of Queensland, Herston, Qld, AustraliaSearch for more papers by this authorJon Emery, Jon Emery orcid.org/0000-0002-5274-6336 Centre for Cancer Research and Department of General Practice, The University of Melbourne, Melbourne, Vic., AustraliaSearch for more papers by this authorJoel Rhee, Joel Rhee orcid.org/0000-0002-5233-2758 General Practice Academic Unit, School of Medicine, The University of Wollongong, Wollongong, NSW, AustraliaSearch for more papers by this authorNicolas H. Hart, Nicolas H. Hart orcid.org/0000-0003-2794-0193 Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia School of Nursing, Queensland University of Technology, Brisbane, Qld, Australia School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia Institute for Health Research, The University of Notre Dame Australia, Perth, WA, Australia Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, SA, Australia East Brunswick Medical Centre, Brunswick, Vic., AustraliaSearch for more papers by this authorPatsy Yates, Patsy Yates orcid.org/0000-0001-8946-8504 Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia School of Nursing, Queensland University of Technology, Brisbane, Qld, Australia Division of Cancer Services, Princess Alexandra Hospital, Brisbane, Qld, AustraliaSearch for more papers by this authorMichael Jefford, Michael Jefford orcid.org/0000-0002-8792-7807 Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Melbourne, Vic., Australia Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Vic., AustraliaSearch for more papers by this authorBogda Koczwara, Bogda Koczwara orcid.org/0000-0002-1201-1642 College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia Flinders Medical Centre, Adelaide, SA, AustraliaSearch for more papers by this authorElizabeth Halcomb, Elizabeth Halcomb orcid.org/0000-0001-8099-986X School of Nursing, Midwifery and Indigenous Health, The University of Wollongong, Wollongong, NSW, AustraliaSearch for more papers by this authorRaylene Steinhardt, Raylene Steinhardt Limestone Medical Centre, Ipswich, Qld, AustraliaSearch for more papers by this authorRoslyn O'Reilly, Roslyn O'Reilly School of Nursing, Midwifery and Indigenous Health, The University of Wollongong, Wollongong, NSW, AustraliaSearch for more papers by this authorRaymond J. Chan, Corresponding Author Raymond J. Chan Raymond.Chan@Flinders.edu.au orcid.org/0000-0003-0248-7046 Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia School of Nursing, Queensland University of Technology, Brisbane, Qld, Australia Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, SA, Australia East Brunswick Medical Centre, Brunswick, Vic., Australia Correspondence Raymond J. Chan, Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia. Email: Raymond.Chan@Flinders.edu.auSearch for more papers by this author Jennifer Fox, Jennifer Fox Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia School of Nursing, Queensland University of Technology, Brisbane, Qld, AustraliaSearch for more papers by this authorCarla Thamm, Carla Thamm orcid.org/0000-0003-0250-1848 Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia School of Nursing, Queensland University of Technology, Brisbane, Qld, AustraliaSearch for more papers by this authorGeoff Mitchell, Geoff Mitchell orcid.org/0000-0001-7817-6821 Limestone Medical Centre, Ipswich, Qld, Australia Primary Care Clinical Unit, University of Queensland, Herston, Qld, AustraliaSearch for more papers by this authorJon Emery, Jon Emery orcid.org/0000-0002-5274-6336 Centre for Cancer Research and Department of General Practice, The University of Melbourne, Melbourne, Vic., AustraliaSearch for more papers by this authorJoel Rhee, Joel Rhee orcid.org/0000-0002-5233-2758 General Practice Academic Unit, School of Medicine, The University of Wollongong, Wollongong, NSW, AustraliaSearch for more papers by this authorNicolas H. Hart, Nicolas H. Hart orcid.org/0000-0003-2794-0193 Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia School of Nursing, Queensland University of Technology, Brisbane, Qld, Australia School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia Institute for Health Research, The University of Notre Dame Australia, Perth, WA, Australia Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, SA, Australia East Brunswick Medical Centre, Brunswick, Vic., AustraliaSearch for more papers by this authorPatsy Yates, Patsy Yates orcid.org/0000-0001-8946-8504 Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia School of Nursing, Queensland University of Technology, Brisbane, Qld, Australia Division of Cancer Services, Princess Alexandra Hospital, Brisbane, Qld, AustraliaSearch for more papers by this authorMichael Jefford, Michael Jefford orcid.org/0000-0002-8792-7807 Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Melbourne, Vic., Australia Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Vic., AustraliaSearch for more papers by this authorBogda Koczwara, Bogda Koczwara orcid.org/0000-0002-1201-1642 College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia Flinders Medical Centre, Adelaide, SA, AustraliaSearch for more papers by this authorElizabeth Halcomb, Elizabeth Halcomb orcid.org/0000-0001-8099-986X School of Nursing, Midwifery and Indigenous Health, The University of Wollongong, Wollongong, NSW, AustraliaSearch for more papers by this authorRaylene Steinhardt, Raylene Steinhardt Limestone Medical Centre, Ipswich, Qld, AustraliaSearch for more papers by this authorRoslyn O'Reilly, Roslyn O'Reilly School of Nursing, Midwifery and Indigenous Health, The University of Wollongong, Wollongong, NSW, AustraliaSearch for more papers by this authorRaymond J. Chan, Corresponding Author Raymond J. Chan Raymond.Chan@Flinders.edu.au orcid.org/0000-0003-0248-7046 Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia School of Nursing, Queensland University of Technology, Brisbane, Qld, Australia Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, SA, Australia East Brunswick Medical Centre, Brunswick, Vic., Australia Correspondence Raymond J. Chan, Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia. Email: Raymond.Chan@Flinders.edu.auSearch for more papers by this author First published: 22 August 2021 https://doi.org/10.1111/hsc.13549 Funding information: RJC receives salary support from the National Health and Medical Research Council through an Investigator Grant (APP1194051). Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Primary care providers, including general practice teams (GPTs), are well positioned within the community to integrate cancer survivorship care into ongoing health management. However, roles of GPT members in delivery of cancer survivorship care have not been explored. The purpose of this study is to explore these roles from the perspectives of General Practitioners (GPs), Practice Nurses (PNs) and Practice Managers (PMs). An interpretive qualitative study using semi-structured in-depth telephone interviews with ten GPs, nine PNs and five PMs was conducted. Interviews were recorded, transcribed and analysed using grounded theory methods. Perspectives of roles in delivery of cancer survivorship care were highly variable. Variation was evident among perceptions of needs of cancer survivors, individual team members' scopes of practice, and individual professional knowledge and skills. A lack of clarity in roles and responsibilities of GPT members was thought to contribute to a lack of consistency in survivorship care. Reducing variations in perceptions of survivorship care in the primary care setting should be a priority. Such efforts may include development of practical guidance to support GPT members to clarify scopes of practice within the team. In addition to accessible comprehensive education programs, other innovative, tailored individualised education approaches may be helpful. System-level support in clarifying and supporting the roles of the primary care team is needed to facilitate a survivorship delivery system at general practice level where those within GPT can ensure that individual patients' needs are met in a timely and effective manner. Open Research DATA AVAILABILITY STATEMENT The data that support the findings of this study are available from the corresponding author upon reasonable request. Early ViewOnline Version of Record before inclusion in an issue RelatedInformation
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