Health care use and remaining needs for support among women with breast cancer in the first 15 months after diagnosis: the role of the GP.

Szczegóły
Abstrakt

Tytuł:: Health care use and remaining needs for support among women with breast cancer in the first 15 months after diagnosis: the role of the GP.
Autorzy:: Lo-Fo-Wong DN; Erasmus University Medical Center, Rotterdam.
de Haes HC; Amsterdam University Medical Centers, Academic Medical Center, Amsterdam.
Aaronson NK; The Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam.
van Abbema DL; GROW - School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht.
Admiraal JM; University Medical Center Groningen, University of Groningen, Groningen.
den Boer MD; Treant Zorggroep, Scheper Hospital, Emmen.
van Hezewijk M; Radiotherapy Group, Arnhem.
Immink M; Reinier de Graaf Hospital, Delft.
Kaptein AA; Leiden University Medical Center, Leiden.
Menke-Pluijmers MB; Albert Schweitzer Hospital, Dordrecht.
Russell NS; The Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam.
Schriek M; St. Elisabeth Hospital, Tilburg.
Sijtsema S; Isala Clinics, Zwolle, the Netherlands.
van Tienhoven G; Amsterdam University Medical Centers, Academic Medical Center, Amsterdam.
Sprangers MA; Amsterdam University Medical Centers, Academic Medical Center, Amsterdam.
Źródło:: Family practice [Fam Pract] 2020 Feb 19; Vol. 37 (1), pp. 103-109.
Typ publikacji:: Journal Article; Multicenter Study; Observational Study; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Original Publication: Oxford : Oxford University Press, [c1983-
MeSH Terms:: General Practitioners*
Health Services Needs and Demand*
Patient Acceptance of Health Care*
Physician's Role*
Social Support*
Breast Neoplasms/*diagnosis
Breast Neoplasms/*therapy
Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Middle Aged ; Needs Assessment ; Prospective Studies ; Surveys and Questionnaires ; Young Adult
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Contributed Indexing:: Keywords: Breast neoplasms; cancer survivors; delivery of health care; needs assessment; primary health care; referral and consultation
Entry Date(s):: Date Created: 20190911 Date Completed: 20210428 Latest Revision: 20210428
Update Code:: 20240105
PubMed Central ID:: PMC7031058
DOI:: 10.1093/fampra/cmz043
PMID:: 31504455
: Czasopismo naukowe

Background: The number of women with breast cancer in general practice is rising. To address their needs and wishes for a referral, GPs might benefit from more insight into women's health care practices and need for additional support.
Objective: To examine the prevalence of health care use and remaining needs among women with breast cancer in the first 15 months after diagnosis.
Methods: In this multicentre, prospective, observational study women with breast cancer completed a questionnaire at 6 and 15 months post-diagnosis. Medical data were retrieved through chart reviews. The prevalence of types of health care used and remaining needs related to medical, psychosocial, paramedical and supplementary service care (such as home care), was examined with descriptive analyses.
Results: Seven hundred forty-six women completed both questionnaires. At both assessments patients reported that they had most frequent contact with medical and paramedical providers, independent of types of treatment received. Three to fifteen percent of the patients expressed a need for more support. Prominent needs included a wish for more frequent contact with a physiotherapist, a clinical geneticist and a psychologist. Patients also wanted more help for chores around the house, particularly in the early post-treatment phase.
Conclusion: A small but relevant percentage of women with breast cancer report having unmet needs. GPs may need to be particularly watchful of their need for more support from specific providers. Future research into the necessity of structural needs assessment among cancer patients in general practice is warranted.
(© The Author(s) 2019. Published by Oxford University Press.)

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