The willingness of general practitioners to be involved in the follow-up of adult survivors of childhood cancer

被引:47
作者
Blaauwbroek R. [1 ]
Zwart N. [1 ]
Bouma M. [1 ]
Meyboom-De Jong B. [2 ]
Kamps W.A. [1 ]
Postma A. [1 ]
机构
[1] Department of Paediatrics, University Medical Centre Groningen, University of Groningen, Groningen 9700 RB
[2] Department of General Practice, University Medical Centre Groningen, University of Groningen, Groningen 9713 AV
关键词
Childhood cancer survivors; General practitioners; Long-term follow-up;
D O I
10.1007/s11764-007-0032-z
中图分类号
学科分类号
摘要
Long-term follow-up of childhood cancer survivors is mainly organised by paediatric oncologists and until now general practitioners (GPs) are rarely involved. To ensure appropriate follow-up for all survivors into adulthood, a combined effort of paediatric oncologists and general practitioners might be the solution. We investigated the willingness of GPs, who had followed a postgraduate course on late effects of cancer treatment, to participate in a shared care model for follow-up of adult childhood cancer survivors as well as what their requirements would be in case of participation. From the Northern Netherlands, 358 GPs participated in a postgraduate course on late effects in paediatric cancer survivors. After the course, they were asked to complete a 10-item questionnaire on motivation to participate in the regular follow-up of adult childhood cancer survivors as well as their conditions to participate. The response rate was 65%. Of the responders, 97% were willing to participate in a shared care model for follow-up and 64% felt that it was their responsibility to be in charge of childhood cancer survivors. The main requirements for participation were the availability of guidelines (64%), sufficient information about the patient's medical history (37%), and short communication lines (45%). The main barriers to participate were workload (16%), lack of knowledge (15%), and lack of communication (13%). A significant number of GPs are ready to participate in the long-term follow-up of adult childhood cancer survivors if adequate guidelines and medical information is provided and communication lines are clear. © 2007 Springer Science+Business Media, LLC.
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页码:292 / 297
页数:5
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