Assessing suitability for long-term colorectal cancer shared care: a scenario-based qualitative study

Kylie Vuong, Kerry Uebel, Maria Agaliotis, Stella Jun, Jane Taggart, Sue Suchy, Winston Liauw, Melvin Chin, Kate Webber, Mark Harris

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Shared care is the preferred model for long-term survivorship care by cancer survivors, general practitioners and specialists. However, survivorship care remains specialist-led. A risk-stratified approach has been proposed to select suitable patients for long-term shared care after survivors have completed adjuvant cancer treatment. This study aims to use patient scenarios to explore views on patient suitability for long-term colorectal cancer shared care across the risk spectrum from survivors, general practitioners and specialists. Methods: Participants completed a brief questionnaire assessing demographics and clinical issues before a semi-structured in-depth interview. The interviews focused on the participant’s view on suitability for long term cancer shared care, challenges and facilitators in delivering it and resources that would be helpful. We conducted thematic analysis using an inductive approach to discover new concepts and themes. Results: Interviews were conducted with 10 cancer survivors, 6 general practitioners and 9 cancer specialists. The main themes that emerged were patient-centredness, team resilience underlined by mutual trust and stronger system supports by way of cancer-specific training, survivorship care protocols, shared information systems, care coordination and navigational supports. Conclusions: Decisions on the appropriateness of this model for patients need to be made collaboratively with cancer survivors, considering their trust and relationship with their general practitioners and the support they need. Further research on improving mutual trust and operationalising support systems would assist in the integration of shared survivorship care.

Original languageEnglish
Article number240
Number of pages8
JournalBMC Family Practice
Volume21
Issue number1
DOIs
Publication statusPublished - Dec 2020

Keywords

  • Capacity building
  • Colorectal neoplasms
  • Health communication
  • Health services
  • Primary health care
  • Survivorship

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