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  • Cancer survivorship care and general practice: A qualitative study of roles of general practice team members in Australia

    Author(s)
    Fox, Jennifer
    Thamm, Carla
    Mitchell, Geoff
    Emery, Jon
    Rhee, Joel
    Hart, Nicolas H
    Yates, Patsy
    Jefford, Michael
    Koczwara, Bogda
    Halcomb, Elizabeth
    Steinhardt, Raylene
    O'Reilly, Roslyn
    Chan, Raymond J
    Griffith University Author(s)
    Chan, Ray
    Year published
    2021
    Metadata
    Show full item record
    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 ...
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    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.
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    Journal Title
    Health & Social Care in the Community
    DOI
    https://doi.org/10.1111/hsc.13549
    Note
    This publication has been entered in Griffith Research Online as an advanced online version.
    Subject
    Social work
    Health services and systems
    cancer survivorship
    general practice
    post-treatment care
    practice nurse
    primary care
    Publication URI
    http://hdl.handle.net/10072/407483
    Collection
    • Journal articles

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