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Jun 19, 2019

MASCC/ISOO Annual Meeting on Supportive Care in Cancer

11 - ROLES AND RECOMMENDATIONS FROM PRIMARY CARE PHYSICIANS’ TOWARDS MANAGING BREAST CANCER SURVIVORS IN A SHARED-CARE MODEL WITH SPECIALISTS IN SINGAPORE: A QUALITATIVE STUDY

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shared-care model

cancer survivors

cancer survivorship

primary care

community

focus groups

oncology

Abstract

Abstract

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Keywords

shared-care model

cancer survivors

cancer survivorship

primary care

community

focus groups

oncology

Abstract

Introduction: This study aimed to gather perspectives of primary care physicians (PCPs) from private and public institutions in Singapore on their role in delivering shared-care services to breast cancer survivors and formulate an optimal care plan. Methods: Eleven focus groups and six in-depth interviews were conducted with 70 PCPs recruited by purposive sampling. All sessions were audio-recorded, transcribed verbatim and coded by three independent researchers. Thematic content data analysis was performed using NVivo 12. Results: Majority of the participants reported spending less than one-fifth of consultation time to manage survivors’ cancer-related problems as they prioritized presenting complaints over the cancer history. PCPs recognized their value in delivering shared-care by: (1) Providing holistic patient-care to include survivorship issues, (2) Empowering survivors in self-care and (3) Right-siting of care in the community for responsive care. PCPs emphasized a need for clear roles differentiation from oncologists, aligning their expertise in managing complex comorbidities, controlling of risk factors and identifying psychosocial issues. To improve care coordination, PCPs suggested the survivorship care plan should include oncologists’ contact details, relevant medical and social history. Institution-level changes and appropriate primary care resourcing are necessary to enable shared-care between oncologists with PCPs. Conclusions: PCPs are keen to provide patient-centric care for their cancer survivors and recommend for their role in shared-care delivery toleverage on their key strengths in chronic disease management, health promotion and preventive care. Future work should explore design of a multidisciplinary shared-care model incorporating training, clinical guidelines and improved communication to maximize its feasibility and practical utility.

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© Copyright 2019 Morressier GmbH.
All rights reserved.