General practitioners' role in cancer care: a French-Norwegian study

Autor: Janine Bachimont, Tommy Thorsen, Martine Bungener, Knut Holtedahl, Alain Letourmy, Lise Demagny
Přispěvatelé: Centre de recherche Médecine, Science, Santé et Société (CERMES), Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Centre National de la Recherche Scientifique (CNRS), Institute of Community Medicine, University of Tromsø (UiT), CERMES - Centre de recherche Médecine, Science, Santé Société (CERMES - UMR 8169 / U750), CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société (CERMES3 - UMR 8211 / U988 / UM 7), Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Descartes - Paris 5 (UPD5)-École des hautes études en sciences sociales (EHESS), BMC, Ed.
Jazyk: angličtina
Rok vydání: 2019
Předmět:
medicine.medical_specialty
VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Allmennmedisin: 751
Psa screening
education
Alternative medicine
Short Report
lcsh:Medicine
Norwegian
General Biochemistry
Genetics and Molecular Biology
[SHS]Humanities and Social Sciences
03 medical and health sciences
0302 clinical medicine
[SDV.BBM] Life Sciences [q-bio]/Biochemistry
Molecular Biology
medicine
Terminal care
[SDV.BBM]Life Sciences [q-bio]/Biochemistry
Molecular Biology
030212 general & internal medicine
lcsh:Science (General)
lcsh:QH301-705.5
Medicine(all)
[SHS.SOCIO]Humanities and Social Sciences/Sociology
business.industry
Biochemistry
Genetics and Molecular Biology(all)
lcsh:R
Cancer
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Family practice: 751
General Medicine
16. Peace & justice
medicine.disease
language.human_language
3. Good health
lcsh:Biology (General)
13. Climate action
030220 oncology & carcinogenesis
Clinical diagnosis
Family medicine
language
Medical training
business
lcsh:Q1-390
Zdroj: BMC Research Notes
BMC Research Notes, BioMed Central, 2019, 2 (1), pp.200. ⟨10.1186/1756-0500-2-200⟩
BMC Research Notes, BioMed Central, 2009, 2 (1), pp.200. ⟨10.1186/1756-0500-2-200⟩
BMC Research Notes, Vol 2, Iss 1, p 200 (2009)
BMC Research Notes, 2009, 2 (1), pp.200. ⟨10.1186/1756-0500-2-200⟩
ISSN: 1756-0500
DOI: 10.1186/1756-0500-2-200⟩
Popis: Background In cancer care, a GP's work is rarely defined clearly. Our aim was to assess GPs' work with cancer patients in France and in Norway, where the roles of the GP and the organization of the system are rather different. Findings A questionnaire with 40 closed-ended questions about GP involvement in diagnosis, treatment, follow-up and terminal care was constructed and mailed to samples of GPs. The patients had seen the doctor at least once over the past year. In France 1679 and in Norway 386 individual patient questionnaires were completed. GPs have a major role in the diagnosis of cancer, and this role varies according to cancer type. The GPs participated actively in different phases of follow-up after cancer treatment. Low response rates do not allow direct comparison between countries, but higher PSA screening rates in France seem to increase the percentage of patients diagnosed after screening rather than after a clinical suspicion. Interaction between GPs and specialists during cancer treatment and follow-up was important in both countries. Conclusion Both in France and in Norway GPs participate actively in cancer care. Early clinical diagnosis is a challenge. More research is needed about how GPs can improve their early diagnostic work. Organisational issues may influence cancer responsibilities for the GP, and national health systems should be challenged to look at possible new roles for GPs in cancer care. Medical training, both pre- and post-graduate, should prepare doctors for collaboration between primary and secondary care, particularly important in cancer care.
Databáze: OpenAIRE
Externí odkaz: