Physician roles in the cancer-related follow-up care of cancer survivors.

摘要: Background and objectives Information about primary care physicians' (PCPs) oncologists' involvement in cancer-related follow-up care, coordination practices, is lacking but essential to improving cancer survivors' care. This study assesses PCPs' self-reported roles providing for survivors who are within 5 years of completing treatment. Methods In 2009, the National Cancer Institute American Society conducted a nationally representative survey PCPs (n=1,014) medical oncologists (n=1,125) (response rate=57.6%, cooperation rate=65.1%). Mailed questionnaires obtained information on early-stage breast colon survivors, personal practice characteristics, beliefs preferences practices. Results More than 50% reported mainly by co-managing with an oncologist. contrast, more 70% fulfilling these themselves. adjusted analyses, PCP co-management was associated specialty, training late or long-term effects cancer, higher patient volume, favorable attitudes involvement, preference shared model survivorship receipt treatment summaries from oncologists. Among oncologists, only PCPs. Conclusions differ their often Given anticipated national shortages results suggest that improved communication between providers needed ensure optimal delivery survivors.