title: [Breast cancer follow-up by primary care physician: patient satisfaction in the Metropolitan Paris region].
abstract: Because of increasing breast cancer incidence and improvement in long-term prognosis, follow-up of patients cannot be carried out entirely in specialized cancer centres. The Réseau Gynécomed was created to transfer the follow-up of patients to primary care physicians (PCP). In 2009, to evaluate the quality of PCP follow-up, a satisfaction study was performed for the 1,245 women followed after breast cancer. Sixty-four percent of the women participate in the study. Before starting follow-up, 87% were informed about its purpose and 93% about its schedule. The satisfaction score was excellent (91%). Old age, perception of a good health status, a high quality of information about and a confident relationship with their PCP were associated with a better satisfaction level. Forty-eight percent of patients thought easy to accept the PCP follow-up. Considering this data, PCP monitoring seems to provide a good follow-up and may be developed. Nonetheless, conditions of patients' choice should be improved and particularly exclude patients with financial difficulties. It would facilitate the growing transfer of follow-up to the PCP.
authors.affiliation: Réseau Gynécomed IdF, Paris, France. gynecomed@gmail.com
authors.forename: Aurélie
authors.initials: A
authors.lastname: Fourcade
authors.forename: Sophie
authors.initials: S
authors.lastname: Houzard
authors.forename: Coraline
authors.initials: C
authors.lastname: Dubot
authors.forename: Alain
authors.initials: A
authors.lastname: Fourquet
authors.forename: Sylvie
authors.initials: S
authors.lastname: Fridmann
authors.forename: Isabelle
authors.initials: I
authors.lastname: Dagousset
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology* / Q000628:therapy*; D003266:Continuity of Patient Care / Q000458:organization & administration* / Q000592:standards; D005260:Female; D005602:France; D006304:Health Status; D006801:Humans; D010353:Patient Education as Topic / Q000592:standards; D062209:Patient Handoff / Q000458:organization & administration / Q000592:standards; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000458:organization & administration* / Q000592:standards; D011795:Surveys and Questionnaires / Q000592:standards