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Differences between primary care physicians' and oncologists' knowledge, attitudes and practices regarding the care of cancer survivors.


ABSTRACT:

Background

The growing number of cancer survivors combined with a looming shortage of oncology specialists will require greater coordination of post-treatment care responsibilities between oncologists and primary care physicians (PCPs). However, data are limited regarding these physicians' views of cancer survivors' care.

Objective

To compare PCPs and oncologists with regard to their knowledge, attitudes, and practices for follow-up care of breast and colon cancer survivors.

Design and subjects

Mailed questionnaires were completed by a nationally representative sample of 1,072 PCPs and 1,130 medical oncologists in 2009 (cooperation rate?=?65%). Sampling and non-response weights were used to calculate estimates to reflect practicing US PCPs and oncologists.

Main measures

PCPs and oncologists reported their 1) preferred model for delivering cancer survivors' care; 2) assessment of PCPs' ability to perform follow-up care tasks; 3) confidence in their knowledge; and 4) cancer surveillance practices.

Key results

Compared with PCPs, oncologists were less likely to believe PCPs had the skills to conduct appropriate testing for breast cancer recurrence (59% vs. 23%, P?ConclusionThere are significant differences in PCPs' and oncologists' knowledge, attitudes, and practices with respect to care of cancer survivors. Improving cancer survivors' care may require more effective communication between these two groups to increase PCPs' confidence in their knowledge, and must also address oncologists' attitudes regarding PCPs' ability to care for cancer survivors.

SUBMITTER: Potosky AL 

PROVIDER: S-EPMC3235622 | biostudies-literature | 2011 Dec

REPOSITORIES: biostudies-literature

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Publications

Differences between primary care physicians' and oncologists' knowledge, attitudes and practices regarding the care of cancer survivors.

Potosky Arnold L AL   Han Paul K J PK   Rowland Julia J   Klabunde Carrie N CN   Smith Tenbroeck T   Aziz Noreen N   Earle Craig C   Ayanian John Z JZ   Ganz Patricia A PA   Stefanek Michael M  

Journal of general internal medicine 20110722 12


<h4>Background</h4>The growing number of cancer survivors combined with a looming shortage of oncology specialists will require greater coordination of post-treatment care responsibilities between oncologists and primary care physicians (PCPs). However, data are limited regarding these physicians' views of cancer survivors' care.<h4>Objective</h4>To compare PCPs and oncologists with regard to their knowledge, attitudes, and practices for follow-up care of breast and colon cancer survivors.<h4>De  ...[more]

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