期刊
SUPPORTIVE CARE IN CANCER
卷 22, 期 6, 页码 1509-1517出版社
SPRINGER
DOI: 10.1007/s00520-013-2113-z
关键词
Cancer; Non-Hodgkin lymphoma; Survivor; Follow-up care; Patient-centered
资金
- California Department of Health Services [103885]
- National Cancer Institute Surveillance, Epidemiology, and End Results Program [N01-PC-35139, N02-PC-15105]
- Centers for Disease Control and Prevention [U55/CCR921930-02]
The growing population of non-Hodgkin lymphoma (NHL) survivors living longer with high physical and psychological treatment burden, in combination with the projected shortage of medical professionals, necessitates redesigning cancer follow-up care. This study examined follow-up care patterns, factors associated with follow-up care, and attitudes towards follow-up care among NHL survivors. We surveyed survivors of aggressive NHL 2 to 5 years post-diagnosis (N = 363) using a population-based sample from the Los Angeles County Surveillance Epidemiology and End Results registry. Most survivors (82 %) received cancer-related follow-up care in the past year from an oncologist. History of recurrence, more comorbidities, more symptoms, and a shorter survivor-oncologist relationship were associated with high-frequency care with the oncologist [(a parts per thousand yen5 visits in the past year), p < 0.05]. Many survivors followed up by oncologists (71 %) also saw a primary care provider (PCP) and 47 % also saw both a PCP and other specialists. Factors associated with seeing a PCP in addition to an oncologist included more symptoms, more health information needs, no history of recurrence, perceived excellent quality of cancer follow-up care, and fewer visits with the oncologist (p < 0.05). Survivors generally reported high reassurance from, and low negative anticipation towards, follow-up care. The high proportion of NHL survivors receiving care from multiple physicians, and the sizable proportion (similar to 30 %) who have not recently seen a PCP, suggests that coordinating care across specialties is critical to ensure comprehensive, non-duplicative care. Understanding factors associated with cancer-related follow-up is a first step towards more effective, efficient, patient-centered care.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据