title: Primary care physicians' involvement in the cancer care of older long-term survivors.
abstract: OBJECTIVE
  This study investigated survivors' reports of primary care physicians' (PCPs) involvement in three key cancer survivorship activities: discussing cancer history, whether the PCP initiated discussions, and whether discussions led to tests/procedures.
  
  
  METHODS
  The sample included 215 older survivors whose health care was maintained in primary care. Logistic regression explored predictors of the three activities, including demographics, cancer characteristics, survivor/PCP association characteristics, health characteristics, and psychosocial well-being.
  
  
  RESULTS
  Nearly two thirds of survivors indicated discussing cancer history; most said discussions were PCP initiated and nearly half said discussions resulted in tests/procedures. Predictors of discussing cancer history were African American race and more comorbid conditions. PCP-initiated discussions were related to older age, surviving breast cancer, more years in the PCP's practice, and having less general health worry. The tests/procedures model was not significant.
  
  
  CONCLUSIONS
  As older survivors focused more on other health concerns, PCPs remained attentive to cancer issues, prompting discussions about history and ordering tests.
authors.affiliation: Case Western Reserve University, Cleveland, OH 44109-1998, USA. karen.bowman@case.edu
authors.forename: Karen F
authors.initials: KF
authors.lastname: Bowman
authors.forename: Julia H
authors.initials: JH
authors.lastname: Rose
authors.forename: Gary T
authors.initials: GT
authors.lastname: Deimling
authors.forename: George
authors.initials: G
authors.lastname: Kypriotakis
authors.forename: Elizabeth E
authors.initials: EE
authors.lastname: O'Toole
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000628:therapy; D015179:Colorectal Neoplasms / Q000628:therapy; D003266:Continuity of Patient Care / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000458:organization & administration; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy*; D010819:Physician's Role; D010817:Physician-Patient Relations; D058007:Physicians, Primary Care; D011471:Prostatic Neoplasms / Q000628:therapy; D017741:Survivors