The role of the GP in follow-up cancer care

a systematic literature review

Judith Meiklejohn, A Mimery, JH Martin, Ross Stewart Bailie, Gail Garvey, E. Walpole, J. Adams, D. Williamson, Patricia Valery

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Purpose:
The purpose of the present study is to explore the role of the general practitioners, family physicians and primary care physicians (GP) in the provision of follow-up cancer care. 
Methods: PubMed, MEDLINE and CINAHL were systematically searched for primary research focussing on the role of the GP from the perspective of GPs and patients. Data were extracted using a standardised form and synthesised using a qualitative descriptive approach. 
Results: The initial search generated 6487 articles: 25 quantitative and 33 qualitative articles were included. Articles focused on patients' and GPs' perspectives of the GP role in follow-up cancer care. Some studies reported on the current role of the GP, barriers and enablers to GP involvement from the perspective of the GP and suggestions for future GP roles. Variations in guidelines and practice of follow-up cancer care in the primary health care sector exist. However, GPs and patients across the included studies supported a greater GP role in follow-up cancer care. This included greater support for care coordination, screening, diagnosis and management of physical and psychological effects of cancer and its treatment, symptom and pain relief, health promotion, palliative care and continuing normal general health care provision. 
Conclusion: While there are variations in guidelines and practice of follow-up cancer care in the primary health care sector, GPs and patients across the reviewed studies supported a greater role by the GP. 
Implications for Cancer Survivors: Greater GP role in cancer care could improve the quality of patient care for cancer survivors. Better communication between the tertiary sector and GP across the cancer phases would enable clear delineation of roles. 
Original languageEnglish
Pages (from-to)990-1011
Number of pages22
JournalJournal of Cancer Survivorship
Volume10
Issue number6
DOIs
Publication statusPublished - 2016

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Aftercare
Neoplasms
Health Care Sector
Practice Guidelines
Survivors
Primary Health Care
Quality of Health Care
Family Physicians
Primary Care Physicians
Health Promotion
Palliative Care
PubMed
MEDLINE
General Practitioners
Patient Care
Industry
Communication
Psychology
Delivery of Health Care
Pain

Cite this

Meiklejohn, J., Mimery, A., Martin, JH., Bailie, R. S., Garvey, G., Walpole, E., ... Valery, P. (2016). The role of the GP in follow-up cancer care: a systematic literature review. Journal of Cancer Survivorship, 10(6), 990-1011. https://doi.org/10.1007/s11764-016-0545-4
Meiklejohn, Judith ; Mimery, A ; Martin, JH ; Bailie, Ross Stewart ; Garvey, Gail ; Walpole, E. ; Adams, J. ; Williamson, D. ; Valery, Patricia . / The role of the GP in follow-up cancer care : a systematic literature review. In: Journal of Cancer Survivorship. 2016 ; Vol. 10, No. 6. pp. 990-1011.
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abstract = "Purpose: The purpose of the present study is to explore the role of the general practitioners, family physicians and primary care physicians (GP) in the provision of follow-up cancer care. Methods: PubMed, MEDLINE and CINAHL were systematically searched for primary research focussing on the role of the GP from the perspective of GPs and patients. Data were extracted using a standardised form and synthesised using a qualitative descriptive approach. Results: The initial search generated 6487 articles: 25 quantitative and 33 qualitative articles were included. Articles focused on patients' and GPs' perspectives of the GP role in follow-up cancer care. Some studies reported on the current role of the GP, barriers and enablers to GP involvement from the perspective of the GP and suggestions for future GP roles. Variations in guidelines and practice of follow-up cancer care in the primary health care sector exist. However, GPs and patients across the included studies supported a greater GP role in follow-up cancer care. This included greater support for care coordination, screening, diagnosis and management of physical and psychological effects of cancer and its treatment, symptom and pain relief, health promotion, palliative care and continuing normal general health care provision. Conclusion: While there are variations in guidelines and practice of follow-up cancer care in the primary health care sector, GPs and patients across the reviewed studies supported a greater role by the GP. Implications for Cancer Survivors: Greater GP role in cancer care could improve the quality of patient care for cancer survivors. Better communication between the tertiary sector and GP across the cancer phases would enable clear delineation of roles. ",
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Meiklejohn, J, Mimery, A, Martin, JH, Bailie, RS, Garvey, G, Walpole, E, Adams, J, Williamson, D & Valery, P 2016, 'The role of the GP in follow-up cancer care: a systematic literature review', Journal of Cancer Survivorship, vol. 10, no. 6, pp. 990-1011. https://doi.org/10.1007/s11764-016-0545-4

The role of the GP in follow-up cancer care : a systematic literature review. / Meiklejohn, Judith; Mimery, A; Martin, JH; Bailie, Ross Stewart; Garvey, Gail; Walpole, E.; Adams, J.; Williamson, D.; Valery, Patricia .

In: Journal of Cancer Survivorship, Vol. 10, No. 6, 2016, p. 990-1011.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - The role of the GP in follow-up cancer care

T2 - a systematic literature review

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AU - Mimery, A

AU - Martin, JH

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AU - Walpole, E.

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AU - Williamson, D.

AU - Valery, Patricia

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