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Can Fam Physician. Oct 2001; 47: 2009-12, 2015-6.
PMCID: PMC2018446

Family physicians and cancer care. Palliative care patients' perspectives.

Abstract

OBJECTIVE: To explore factors that affect the integrity of palliative cancer patients' relationships with family physicians and to ascertain their perceptions of their FPs' roles in their care. DESIGN: Qualitative study using grounded-theory methods, taped semistructured interviews, and chart reviews. SETTING: Two palliative care hospital wards in Winnipeg, Man. PARTICIPANTS: A purposeful sample of 11 men and 14 women. METHOD: Qualitative content analysis of interview transcripts. MAIN FINDINGS: Cancer care is organized in a sequential, parallel, or shared manner between FPs and cancer specialists, with sequential care a common outcome if patients' relationships with their FPs wane. Cancer patients can lose contact with FPs because of patient or physician relocation, distrust over delays in diagnosis, failure to perceive a need for FPs, poor communication between FPs and specialists, and a lack of FP involvement in the hospital. People with cancer value FPs for being accessible through prompt appointments and telephone contact; for providing emotional and family support; and for referral, triage, and general medical care. CONCLUSION: Family physicians can enhance care of cancer patients. Contact with FPs can be maintained by ensuring good communication between specialists and FPs, defining a clear role for FPs, addressing concerns about delays in diagnosis, and referring patients back to FPs, particularly after hospitalization.

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Selected References

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  • Wood ML. Communication between cancer specialists and family doctors. Can Fam Physician. 1993 Jan;39:49–57. [PMC free article] [PubMed]
  • Dworkind M, Shvartzman P, Adler PS, Franco ED. Urban family physicians and the care of cancer patients. Can Fam Physician. 1994 Jan;40:47–50. [PMC free article] [PubMed]
  • Jolley MG. Ethics of cancer management from the patient's perspective. J Med Ethics. 1988 Dec;14(4):188–190. [PMC free article] [PubMed]
  • Mathieson CM, Logan-Smith LL, Phillips J, MacPhee M, Attia EL. Caring for head and neck oncology patients. Does social support lead to better quality of life? Can Fam Physician. 1996 Sep;42:1712–1720. [PMC free article] [PubMed]
  • Blyth AC. Audit of terminal care in a general practice. BMJ. 1990 Apr 14;300(6730):983–986. [PMC free article] [PubMed]
  • McCormick TR, Conley BJ. Patients' perspectives on dying and on the care of dying patients. West J Med. 1995 Sep;163(3):236–243. [PMC free article] [PubMed]
  • Higginson I, Wade A, McCarthy M. Palliative care: views of patients and their families. BMJ. 1990 Aug 4;301(6746):277–281. [PMC free article] [PubMed]
  • Wood ML, McWilliam CL. Cancer in remission. Challenge in collaboration for family physicians and oncologists. Can Fam Physician. 1996 May;42:899–910. [PMC free article] [PubMed]
  • Still AW, Todd CJ. Role ambiguity in general practice: the care of patients dying at home. Soc Sci Med. 1986;23(5):519–525. [PubMed]
  • Aiach P, Cebe D, Broclain D. What cancer tells us about general practice. Birth of an hypothesis. Soc Sci Med. 1990;30(11):1241–1246. [PubMed]
  • Worster A, Bass MJ, Wood ML. Willingness to follow breast cancer. Survey of family physicians. Can Fam Physician. 1996 Feb;42:263–268. [PMC free article] [PubMed]
  • McWhinney IR, Stewart MA. Home care of dying patients. Family physicians' experience with a palliative care support team. Can Fam Physician. 1994 Feb;40:240–246. [PMC free article] [PubMed]
  • Burnard P. A method of analysing interview transcripts in qualitative research. Nurse Educ Today. 1991 Dec;11(6):461–466. [PubMed]
  • McWhinney IR. Caring for patients with cancer. Family physicians' role. Can Fam Physician. 1994 Jan;40:16–19. [PMC free article] [PubMed]
  • Thom DH, Campbell B. Patient-physician trust: an exploratory study. J Fam Pract. 1997 Feb;44(2):169–176. [PubMed]
  • Gabel LL, Lucas JB, Westbury RC. Why do patients continue to see the same physician? Fam Pract Res J. 1993 Jun;13(2):133–147. [PubMed]
  • Gilbert R, Willan AR, Richardson S, Sellick S. Survey of family physicians: what is their role in cancer patient care? Can J Oncol. 1994 Jul;4(3):285–290. [PubMed]
  • Dworkind M, Towers A, Murnaghan D, Guibert R, Iverson D. Communication between family physicians and oncologists: qualitative results of an exploratory study. Cancer Prev Control. 1999 Apr;3(2):137–144. [PubMed]
  • Orton P. Shared care. Lancet. 1994 Nov 19;344(8934):1413–1415. [PubMed]
  • Kisker CT, Fethke CC, Tannous R. Shared management of children with cancer. Arch Pediatr Adolesc Med. 1997 Oct;151(10):1008–1013. [PubMed]

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