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Disconnect between primary care and cancer follow-up care: An exploratory study from Odisha, India

Family Medicine and Community Health 2015年第3期3卷 9-17页

作者： Sanghamitra Pati Sukdev Nayak David Weller Indian Institute of Public Health Bhubaneswar Public Health Foundation of India2nd and 3rd FloorJSS Software Technology ParkE1/1Infocity RoadPatiaBhubaneswar 751024OdishaIndia All India Institute of Medical Sciences SijuaBhubaneswar 751019OdishaIndia Ex-Director Regional Cancer CenterCuttack OdishaIndia Centre for Population Health Sciences University of EdinburghDoorway 1Medical Quad Teviot PlaceEdinburgh EH89DXUK

Objective:There has been a steady increase in the demand for cancer follow-up care in *** with Western countries,there is little evidence on the capacity of the Indian primary care workforce to accommodate such *** explored the perceptions of oncologists,general practitioners,and patients with regard to the involvement of primary care in cancer follow-up ***:We undertook semistructured focus-group discussions with eight oncologists,nine general practitioners,and 17 cancer patients to gain an understanding of their perceived roles and responsibilities with regard to primary care in delivering follow-up care and the potential *** from the focus groups were transcribed verbatim,translated,and analyzed with use of a the-matic ***:Most general practitioners felt that their job is to see‘normal’patients,and cancer patients were exceptions to routine *** were apprehensive with regard to the com-petence of general practitioners and patient *** consult oncologists for cancer follow-up care as they perceive it to be very *** expressed difficulty in accessing follow-up care and want specialized oncological care by trained personnel in their ***:Despite the growing number of cancer survivors,we found a disconnect between primary care and cancer follow-up care.

关键词： Primary care cancer follow-up general practitioner qualitative perspectives Odisha India

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