ArticleScandinavian journal of primary health care2009
Why are some patients in treatment for advanced cancer reluctant to consult their GP?
Article in Scandinavian journal of primary health care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health care needs of cancer survivors in general practice: a systematic review.BMC family practice · 2014Pooled it
- Informal Caregiver Burden in Palliative Care and the Role of the Family Doctor: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Shifting palliative care paradigm in primary care from better death to better end-of-life: a Swiss pilot study.BMC health services research · 2021Observational
- Who should provide care for patients receiving palliative chemotherapy? A qualitative study among Dutch general practitioners and oncologists.Scandinavian journal of primary health care · 2018Article
- "Non-palliative care" - a qualitative study of older cancer patients' and their family members' experiences with the health care system.BMC health services research · 2018Article
- The role of the general practitioner in cancer care: a survey of the patients' perspective.Journal of cancer research and clinical oncology · 2017Article
- Preparing general practitioners to receive cancer patients following treatment in secondary care: a qualitative study.BMC health services research · 2015Article
- A qualitative exploration of the role of primary care in supporting colorectal cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2012Article
- Excess of health care use in general practice and of comorbid chronic conditions in cancer patients compared to controls.BMC family practice · 2012Article
- Who is the key worker in palliative home care?Scandinavian journal of primary health care · 2011Article
- A doctor close at hand: How GPs view their role in cancer care.Scandinavian journal of primary health care · 2010Article
- Associations between successful palliative trajectories, place of death and GP involvement.Scandinavian journal of primary health care · 2010Article
- Public Health Perspective of Primary Palliative Care: A Review through the Lenses of General Practitioners.Indian journal of palliative careReview
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo analyse cancer patients' views and perspectives on mechanisms and barriers to involving the GP in the late treatment phase of advanced cancer.
designQualitative, semi-structured interview study of 16 patients with advanced cancer and their next of kin. Seven patients were re-interviewed after six months and three after 12 months.
settingPatients' home in Region South, Denmark.
resultsThe cancer patients described how they developed a personal relationship with the staff at the cancer treatment centre. They also described some kind of dependability towards the hospital staff and therefore consulted the doctor or the staff at the cancer treatment centre before seeking advice from their GP. Some patients found that the GP was not familiar enough with the treatments given; others that they did not want to inconvenience the busy GP with what they perceived to be minor non-treatment-related matters. However, as the disease progressed they also described how they perceived unmet psychosocial needs. After ending chemotherapy, re-establishment of the contact between patient and GP was in this study dependent on a proactive attitude by the GP.
conclusionGPs are important for cancer patients' possibility of staying at home and dying at home. This study, however, shows that due to some patients' barriers special attention is needed to guarantee the switch over from the cancer treatment centre to home-based end-of-life care. This is increasingly important as cancer patients to a still larger extent receive hospital-based, active treatment until shortly before death.
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