Treatment decision‐making and the added value of the general practitioner: A qualitative exploration of cancer patients' perspectives
| Autor: | Charles W Helsper, Elsken van der Wall, Eleonora B.L. van Dorst, Rhodé M Bijlsma, Anne S R van Lindert, Eveline A Noteboom, Anne M. May, Maarten W van Elst, Niek J. de Wit, Sigrid C. J. M. Vervoort |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Decision Making neoplasms Safeguarding 03 medical and health sciences 0302 clinical medicine general practitioners Treatment plan Psychological support Added value Humans Medicine Qualitative Research Aged general practice Physician-Patient Relations business.industry Cancer Original Articles Middle Aged medicine.disease medical oncology Cancer treatment Oncology 030220 oncology & carcinogenesis Family medicine Female Original Article decision‐making Treatment decision making Patient Participation business patient preference Qualitative research |
| Zdroj: | European Journal of Cancer Care |
| ISSN: | 1365-2354 0961-5423 |
| DOI: | 10.1111/ecc.13410 |
| Popis: | Objective Cancer patients are increasingly involved in decision‐making for cancer treatment. General practitioners' (GPs) support in this process is advocated. Therefore, GPs need to be aware of patients' treatment decision‐making process and their potential role. We aim to understand the treatment decision‐making process and to explore the added value of GP involvement, from the perspective of cancer patients treated with curative intent. Methods An explorative qualitative study was performed. Semi‐structured interviews were conducted with 20 purposively sampled Dutch cancer patients treated with curative intent. Results Patients' treatment decision‐making process was dominated by a focus on ‘safeguarding survival’. Patients generally followed the treatment plan as proposed by their physician and did not always experience having a treatment choice. The majority of patients expressed added value for GP involvement, mainly to provide psychological support, but also for providing shared decision‐making (SDM) support. Conclusion The treatment decision‐making process of cancer patients treated with curative intent is dominated by the urge to ‘safeguard survival’. GPs should be aware of their added value in providing psychological support and their potential role to support SDM following a cancer diagnosis. |
| Databáze: | OpenAIRE |
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