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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    title = "The role of the GP in follow-up cancer care: a systematic literature 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. ",
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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

    AU - Meiklejohn, Judith

    AU - Mimery, A

    AU - Martin, JH

    AU - Bailie, Ross Stewart

    AU - Garvey, Gail

    AU - Walpole, E.

    AU - Adams, J.

    AU - Williamson, D.

    AU - Valery, Patricia

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    N2 - 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. 

    AB - 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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