Identifying the Needs of Primary Care Providers Caring for Breast and Colon Cancer Survivors in the Safety-Net: a Qualitative Study
| Autor: | Niharika Dixit, Gladys Rodriguez, Urmimala Sarkar, Nancy Burke, Evelin Trejo, Denise Joanna Devore, Paul Couey, Anna María Nápoles |
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| Rok vydání: | 2022 |
| Předmět: |
Primary Health Care
Cancer survivorship Prevention Rehabilitation Public Health Environmental and Occupational Health 8.1 Organisation and delivery of services Nursing Health Services Primary care Colon cancer 7.3 Management and decision making Breast cancer Cancer Survivors Oncology Clinical Research Physicians Colonic Neoplasms Public Health and Health Services Humans Management of diseases and conditions Generic health relevance Public Health Safety-net Cancer Health and social care services research |
| Zdroj: | Journal of cancer education : the official journal of the American Association for Cancer Education, vol 38, iss 3 |
| ISSN: | 1543-0154 0885-8195 |
| DOI: | 10.1007/s13187-022-02195-3 |
| Popis: | As the number of cancer survivors continues to increase and given the shortage of oncology clinicians in safety net health care settings, primary care providers (PCPs) in these settings will increasingly provide cancer survivorship care. In order to ensure equitable care for low-income and underserved breast and colon cancer survivors, it is essential to understand the safety-net PCPs’ perspective. We conducted semi-structured, in-depth qualitative interviews with 11 PCPs working in a safety-net health care system to identify their needs in caring for cancer survivors. Interviews were audio-recorded and professionally transcribed. Two coders independently coded the interviews and conducted regular meetings until we reached consensus on the results. Analysis was based in grounded theory and performed using the constant comparative method. Thematic analysis identified six themes as follows: (1) Cancer survivorship care can be integrated with the whole person and chronic disease care management that occurs in primary care; (2) PCPs’ perceptions regarding patients’ survivorship care needs and their confidence in meeting those needs; (3) preference for a shared care model; (4) coordination of care; (5) PCPs’ need for survivorship care education and training; and (6) unique issues involved in the care of older cancer survivors. PCPs in the safety-net believe that providing comprehensive survivorship care requires coordination of care through the cancer continuum. Tools like checklists, electronic health records-based communication, and convenient electronic consultations with cancer specialists would enhance the quality of survivorship care. Respondents advocate the inclusion of survivorship care education in medical education. The continuity of care with PCPs means that they play a particularly important role in the care of older cancer survivors. |
| Databáze: | OpenAIRE |
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