Connecting the team: factors that facilitate PCP communication with Oncologists and Patients about long-term effects of breast cancer and treatment. Público
Star, Jessica (Fall 2020)
Published
Abstract
Background: Primary Care Professionals (PCP’s) are not always trained in late-term effects of cancer treatment and survivorship care. To best assist the patient, the PCP must be in constant communication with patient and oncologist. However, that does not always happen. We need to understand the PCP’s attributes that might be helping or hindering communication before a solution can be found.
Methods: From 2013-2015, 5080 patients with early-stage breast cancer or ductal
carcinoma in the SEER Registries of Georgia and Los Angeles county were surveyed
(9). Women who participated in the study were asked to name their
Primary Care Provider, so that these PCP’s could also be surveyed. Participants
identified 2,946 unique PCPs (9). A stratified sample of eligible PCP’s
were then surveyed. The PCP data set used for these analyses contained 517 eligible
primary care physicians who finished the survey, a 60.8% response rate.
Multivariable logistic regression was used to determine PCPreported attributes
associated with communication to oncologists and patients.
Results: The odds of PCP’s reporting more frequent communication with oncologists was 2.88 times greater for those who reported having taken survivorship training to those who did not (p<0.001). The odds of PCP’s reporting more frequent communication with patients is 2.43 times greater for private practice providers than providers in other practice types (p<0.001). The odds of PCP’s reporting more frequent communication with patients was 1.74 times greater for those who reported having taken survivorship training to those who did not (p<0.01).
Conclusions: The public health implications of this study revolve around the need for more survivorship training, as well as more resources for non-private practice providers. This study has reaffirmed the effectiveness of survivorship training, and has displayed gaps in care that exist between private and public care.
Table of Contents
TABLE OF CONTENTS
CHAPTER I: LITERATURE REVIEW………………………………………………………....1
CHAPTER II: MANUSCRIPT………………………………………………………………..…4
INTRODUCTION………………………………………………………………………….….4
METHODS………………………………………………………………………………….....4
RESULTS…………………………………………………………………………….…...…...7
DISCUSSION………………………………………………………………………….……....8
CHAPTER III: CONCLUSIONS, PUBLIC HEALTH IMPLICATIONS………………..……..10
POTENTIAL FUTURE STEPS………………………………………………………….……...12
REFERENCES…………………………………………………………………………….…….13
TABLES………………………………………………………………………………….……...15
FIGURES…………………………………………………………………………………..…….18
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