Involvement of family physicians in the care of cancer patients seen in the palliative Rapid Response Radiotherapy Program.
OBJECTIVE
It is important for cancer patients to maintain continuity of care with their family physician (FP) while being followed at the cancer center. The primary objective of this study was to determine the perception of patients seen in the palliative Rapid Response Radiotherapy Program (RRRP) on FP involvement in their cancer care. Secondary objectives were to identify factors predicting for perceived FP involvement in patient cancer care.


METHODS
Consecutive patients were approached for study enrollment at the time of RRRP visit and asked to complete a 15-item survey.


RESULTS
Three hundred sixty-five patients were accrued over 15 months. Ninety-eight percent had an FP, and 43% felt their FP was involved in their cancer care. Eighty percent of patients were satisfied with the overall medical care provided by their FP, and 71% had been with their FP for > or = 5 years. The most common reason patients gave for perceiving limited FP involvement was the medical oncologist looking after all of their cancer needs. Multivariate analysis found that satisfaction with overall medical care provided by the FP, shorter time since last FP visit, seeing the FP since cancer diagnosis, and FP providing on-call service for after-hour emergencies all significantly predicted for patients perceiving FP involvement in their cancer care.


CONCLUSIONS
Less than half of patients surveyed perceived their FP as involved in their cancer care. Encouraging continuity of care between patients and FPs may allow for easier transition of care back to the FP once palliative treatment at the cancer center has finished and help facilitate end-of-life planning.
Barnes
Elizabeth A
EA
Department of Radiation Oncology, Toronto Sunnybrook Regional Cancer Centre, 2075 Bayview Ave, Toronto, Ontario, Canada, M4N 3M5. toni.barnes@sunnybrook.ca
Fan
Grace
G
Harris
Kristin
K
Doyle
Meagan
M
Librach
Lawrence S
LS
Chow
Edward
E
Barbera
Lisa
L
Tsao
May
M
Lam
Kelvin
K
Danjoux
Cyril
C
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D003266:Continuity of Patient Care; D005194:Family Practice; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy*; D010166:Palliative Care; D010817:Physician-Patient Relations; D018787:Radiation Oncology; D011878:Radiotherapy