Patients' and healthcare professionals' views of cancer follow-up: systematic review

摘要: Background Cancer follow-up places a significant burden on hospital outpatient clinics. There are increasing calls to develop alternative models of provision. Aim To undertake systematic review qualitative studies examining patients' and healthcare professionals' views about cancer follow-up. Design study Systematic review. Setting Primary secondary care. Method Comprehensive literature searches included: 19 electronic databases, online trial registries, conference proceedings, bibliographies included studies. Eligible Studies patients with any type cancer, considered free active disease, or no longer receiving treatment were included. Findings synthesised using thematic analysis. Results Nineteen included; seven linked randomised controlled trials. Eight examined the professionals (four which GPs) 16 patients. Twelve descriptive themes identified, from 12 perceived implications for practice derived. Most related conventional in Some concerning other care based participants' ideas, rather than experiences. Conclusion Patients' main concern is recurrent they find regular follow-up, expertise specialists, quick access tests reassuring. Information regarding effectiveness not given who also have unmet information needs, would help them cope be more involved. Continuity care, unhurried consultations, psychosocial support important, but sometimes lacking GPs thought unwilling insufficient time conduct