丹麦全科医生的癌症后续治疗--一项问卷调查研究。

IF 2.5 Q2 PRIMARY HEALTH CARE BJGP Open Pub Date : 2024-07-29 Print Date: 2024-07-01 DOI:10.3399/BJGPO.2023.0215
Lisa Maria Sele Sætre, Steffi Blach Naamansen, Kirubakaran Balasubramaniam, Jens Søndergaard, Dorte Ejg Jarbøl
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引用次数: 0

摘要

背景:目的:调查丹麦全科医生癌症后续治疗的组织情况,分析全科医生(GPs)对癌症幸存者和晚期影响能力的自我评估:设计与环境:共邀请了 500 名丹麦全科医生参与网络调查:问题包括癌症后续治疗的组织、全科医生对其在后续治疗和晚期影响评估方面能力的自我评估。考虑的变量包括性别、年龄、资历和执业类型。分析采用了描述性统计和多变量逻辑回归模型:结果:约 29% 的全科医生报告说,他们在诊所中系统地组织了癌症后续治疗。超过半数的全科医生认为自己有能力评估精神后遗症、生存考虑以及对并发症的影响。相比之下,分别只有 19% 和 33% 的全科医生称自己有能力处理性后遗症和身体后遗症。女性全科医生不太可能报告具备有关身体和精神后遗症以及性障碍的能力,而来自合伙诊所的全科医生更有可能报告具备评估精神后遗症的能力:不到三分之一的全科医生组织了系统的癌症后续护理,全科医生认为他们在身体后遗症和性障碍方面的能力较低。这强调了全科医生需要更系统地组织和关注晚期后遗症的知识。
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Follow-up cancer care in Danish general practice: a questionnaire study.

Background: The number of patients who have survived cancer has increased substantially owing to improved cancer treatment. This has reinforced the need for effective strategies for follow-up cancer care in general practice.

Aim: To investigate the organisation of follow-up cancer care in Danish general practice and to analyse GPs' self-assessment of competences regarding patients who have survived cancer and late effects.

Design & setting: A total of 500 Danish general practices were invited to a web-based survey.

Method: Questions comprised organisation of follow-up cancer care, and GPs' self-assessment of their competences in follow-up care and evaluation of late effects. Covariates considered included sex, age, seniority, and practice type. Analyses were conducted using descriptive statistics and multivariable logistic regression models.

Results: Some 28% of the GPs reported systematic organisation of follow-up cancer care in their clinic. More than half of the GPs assessed themselves as competent in evaluating mental sequelae, existential considerations, and the impact on comorbidities. In contrast, only 19% and 33% of GPs reported competences in sexual and physical sequelae, respectively. Female GPs were less likely to report competences regarding physical and mental sequelae as well as sexual disturbances, and GPs from partnership practices were more likely to report competence in assessing mental sequelae.

Conclusion: Fewer than one in three general practices have organised systematic follow-up cancer care and GPs assess their competence as low with respect to physical sequelae and sexual challenges. This emphasises the need for more systematic organisation and focus on knowledge of late effects in general practice.

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来源期刊
BJGP Open
BJGP Open Medicine-Family Practice
CiteScore
5.00
自引率
0.00%
发文量
181
审稿时长
22 weeks
期刊最新文献
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