Dataset Information

Oncology and Primary Care Provider Views on Cancer Survivorship Care: Mind the Gap.

ABSTRACT:

Context

Coordination between oncology and primary care practices in cancer survivorship is lacking.

Objective

To identify cancer care coordination perceptions, knowledge, and practices in a sample of Oklahoma oncology care providers (ONCs) and primary care providers (PCPs) regarding post-treatment care of adult cancer survivors.

Design

Cross-sectional, statewide survey by mail/web link in 2014/5.

Setting

PCPs identified through a primary care research network, primary care organization membership lists; ONCs identified through www.Healthgrades.com.

Participants

Contacts who were clinically active and seeing cancer patients were eligible. The final sample size included 101 ONCs and 58 PCPs who reported actively seeing cancer patients.

Measures

Responses to predominately Likert scale or ranked-order questions derived from the Survey of Physician Attitudes Regarding the Care of Cancer Survivors.

Analyses

Chi square and t tests were performed to test bivariate associations between provider type and survey measures.

Results

Statistically significant differences (P < .05) between ONC and PCP perceptions were observed for several questions on communication between the 2 provider types, ONC perceptions of PCP ability to address survivorship care, and responsibilities for post-treatment care.

Conclusions

Highly discrepant perspectives between ONCs and PCPs regarding communications and responsibilities for survivorship care may lead to adverse health outcomes. Interventions aimed at improving care coordination for cancer survivors should define each provider group's responsibilities in survivorship care, and create structures and processes that foster clear channels of communication between ONC and PCP practices.

SUBMITTER: Doescher MP

PROVIDER: S-EPMC10897935 | biostudies-literature | 2022 Mar-Apr

REPOSITORIES: biostudies-literature

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Publications

Oncology and Primary Care Provider Views on Cancer Survivorship Care: Mind the Gap.

Doescher Mark P MP Nagykaldi Zsolt Z Zhao Yan Daniel YD Dwyer Kathleen K

Journal of the American Board of Family Medicine : JABFM 20220301 2

<h4>Context</h4>Coordination between oncology and primary care practices in cancer survivorship is lacking.<h4>Objective</h4>To identify cancer care coordination perceptions, knowledge, and practices in a sample of Oklahoma oncology care providers (ONCs) and primary care providers (PCPs) regarding post-treatment care of adult cancer survivors.<h4>Design</h4>Cross-sectional, statewide survey by mail/web link in 2014/5.<h4>Setting</h4>PCPs identified through a primary care research network, primar ...[more]

PMID: 35379720

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Project description:PurposeDiabetes is a prevalent comorbid condition among many women with breast cancer. The roles and responsibilities of managing diabetes during cancer care are unclear, as oncologists lack interest and clinical expertise and many patients stop seeing their primary care providers (PCPs). Uncertainty around who should manage diabetes for cancer patients can result in gaps in care for survivors. We sought to elicit the perspectives of providers about a novel diabetes care delivery intervention for women undergoing chemotherapy for breast cancer.MethodsWe conducted nominal group sessions with PCPs and breast oncologists across the USA. We introduced a novel care delivery model, which involved a nurse practitioner (NP) specifically trained in diabetes to work within the oncology team to manage diabetes for women during chemotherapy. PCPs and oncologists were asked to identify potential barriers and facilitators to the intervention's success and then vote on the top three most important barriers and facilitators, separately. Votes were aggregated across sessions and presented as frequencies and weighted percentages.ResultsFrom November to December 2020, two 60-min sessions with PCPs and two 60-min sessions with breast oncologists were held virtually. In total, 29 providers participated, with 16 PCPs and 13 breast oncologists. At the health system level, financial support for the NP-led intervention was identified as the most important barrier across both provider types. Clearly defined roles for each care team member were identified as the most important facilitator at the care team level. At the patient level, lack of cancer-specific diabetes education was identified as an important barrier.ConclusionOur findings underscore the need to engage various stakeholders including policy makers, institutional leadership, care team members, and patients to improve diabetes care for patients undergoing chemotherapy for breast cancer. As such, multi-disciplinary interventions are warranted to increase awareness, engagement, and self-management practices among breast cancer patients with diabetes.

Dataset Information

Oncology and Primary Care Provider Views on Cancer Survivorship Care: Mind the Gap.

Context

Objective

Design

Setting

Participants

Measures

Analyses

Results

Conclusions

Publications

Oncology and Primary Care Provider Views on Cancer Survivorship Care: Mind the Gap.

Similar Datasets

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