TY - JOUR
T1 - Cancer survivors' preference for follow-up care providers
T2 - Symposium on European Cancer Rehabilitation and Survivorship (ECRS)
AU - Huibertse, Lotte J.
AU - van Eenbergen, Mies
AU - de Rooij, Belle H.
AU - Bastiaens, Maarten T.
AU - Fossion, Laurent M. C. L.
AU - de la Fuente, Rob B.
AU - Kil, Paul J. M.
AU - Koldewijn, Evert L.
AU - Meier, A. H. P.
AU - Mommers, Roland J. M.
AU - Niemer, A. Q.
AU - Oddens, Jorg R.
AU - Oomens, Eric H. G. M.
AU - Prins, Mandy
AU - de Roos, Kees-Peter
AU - Thissen, Monique R. T. M.
AU - Timmermans, Martine W. H.
AU - Wijsman, Bart P.
AU - van de Poll-Franse, Lonneke V.
AU - Ezendam, Nicole P. M.
PY - 2017/1/9
Y1 - 2017/1/9
N2 - Background: The best practice for the organization of follow-up care in oncology is under debate, due to growing numbers of cancer survivors. Understanding survivors' preferences for follow-up care is elementary for designing patient-centred care. Based on data from prostate cancer and melanoma survivors, this study aims to identify: 1) preferences for follow-up care providers, for instance the medical specialist, the oncology nurse or the general practitioner; 2) characteristics associated with these preferences and 3) the preferred care provider to discuss cancer-related problems. Material and methods: Survivors diagnosed with prostate cancer (N=535) and melanoma (N=232) between 2007 and 2013 as registered in The Netherlands Cancer Registry returned a questionnaire (response rate was 71% and 69%, respectively). A latent class cluster model analysis was used to define preferences and a multinomial logistic regression analysis was used to identify survivor-related characteristics associated with these preferences. Results: Of all survivors, 29% reported no preference, 40% reported a preference for the medical specialist, 20% reported a preference for both the medical specialist and the general practitioner and 11% reported a preference for both the medical specialist and the oncology nurse. Survivors who were older, lower/intermediate educated and women were more likely to have a preference for the medical specialist. Lower educated survivors were less likely to have a preference for both the medical specialist and the general practitioner. Overall, survivors prefer to discuss diet, physical fitness and fatigue with the general practitioner, and hereditary and recurrence with the medical specialist. Only a small minority favored to discuss cancer-related problems with the oncology nurse. Conclusion: Survivors reported different preferences for follow-up care providers based on age, education level, gender and satisfaction with the general practitioner, showing a need for tailored follow-up care in oncology. The results indicate an urgency to educate patients about transitions in follow-up care.
AB - Background: The best practice for the organization of follow-up care in oncology is under debate, due to growing numbers of cancer survivors. Understanding survivors' preferences for follow-up care is elementary for designing patient-centred care. Based on data from prostate cancer and melanoma survivors, this study aims to identify: 1) preferences for follow-up care providers, for instance the medical specialist, the oncology nurse or the general practitioner; 2) characteristics associated with these preferences and 3) the preferred care provider to discuss cancer-related problems. Material and methods: Survivors diagnosed with prostate cancer (N=535) and melanoma (N=232) between 2007 and 2013 as registered in The Netherlands Cancer Registry returned a questionnaire (response rate was 71% and 69%, respectively). A latent class cluster model analysis was used to define preferences and a multinomial logistic regression analysis was used to identify survivor-related characteristics associated with these preferences. Results: Of all survivors, 29% reported no preference, 40% reported a preference for the medical specialist, 20% reported a preference for both the medical specialist and the general practitioner and 11% reported a preference for both the medical specialist and the oncology nurse. Survivors who were older, lower/intermediate educated and women were more likely to have a preference for the medical specialist. Lower educated survivors were less likely to have a preference for both the medical specialist and the general practitioner. Overall, survivors prefer to discuss diet, physical fitness and fatigue with the general practitioner, and hereditary and recurrence with the medical specialist. Only a small minority favored to discuss cancer-related problems with the oncology nurse. Conclusion: Survivors reported different preferences for follow-up care providers based on age, education level, gender and satisfaction with the general practitioner, showing a need for tailored follow-up care in oncology. The results indicate an urgency to educate patients about transitions in follow-up care.
KW - BREAST-CANCER
KW - ADULT
KW - VIEWS
KW - ORGANIZATION
KW - MODELS
KW - SCALE
U2 - 10.1080/0284186X.2016.1267398
DO - 10.1080/0284186X.2016.1267398
M3 - Article
SN - 0284-186X
VL - 56
SP - 278
EP - 287
JO - Acta Oncologica
JF - Acta Oncologica
IS - 2
Y2 - 1 September 2016
ER -