General practitioners' participation in cancer treatment in Norway
Introduction: General practitioners (GPs) participate in a patient’s cancer care to different extents at different times, from prevention and diagnosis to treatment and end-of-life care. Traditionally, the GP has had a minor role in cancer treatment. However, oncological and surgical services freque...
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ftsfomsorgsforsk:oai:omsorgsforskning.brage.unit.no:11250/2642776 2024-03-03T08:47:13+00:00 General practitioners' participation in cancer treatment in Norway Holtedahl, Knut Scheel, Benedicte I. Johansen, May-Lill 2018 application/pdf http://hdl.handle.net/11250/2642776 https://doi.org/10.22605/RRH4276 unknown Rural Remote Health Holtedahl, K., Scheel, B.I. og Johansen, M.L. (2018): General practitioners ‘participation in cancer treatment in Norway. Rural Remote Health 18(2), 4276. http://hdl.handle.net/11250/2642776 https://doi.org/10.22605/RRH4276 Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no 4276 18 Rural Remote Health 2 cancer continuity of patient care family practice general practice Norway palliative care patient care primary health care palliasjon palliativ omsorg Journal article 2018 ftsfomsorgsforsk https://doi.org/10.22605/RRH4276 2024-02-02T11:37:28Z Introduction: General practitioners (GPs) participate in a patient’s cancer care to different extents at different times, from prevention and diagnosis to treatment and end-of-life care. Traditionally, the GP has had a minor role in cancer treatment. However, oncological and surgical services frequently delegate limited cancer treatment tasks to GPs, especially in rural areas far from hospitals. The aim of this study was to explore the extent of GPs’ participation in cancer treatment in Norway. Methods: This study was an observational questionnaire study. In 2007, the chief municipal medical officer in all 93 municipalities in North Norway and a 25% random sample (85 municipalities) in South Norway was asked to identify up to five GPs who had recently participated in local treatment of cancer patients, and to forward a patient questionnaire to them. Results: Seventy-eight GPs in 49 municipalities returned completed questionnaires for 118 patients, most of them with progressive disease and living in rural areas. All the GPs reported substantial participation in therapeutic tasks for this select group of patients. Not counting palliative treatment, 64% of the GPs participated in cancer treatment either directly, or indirectly through referrals. Twenty patients received chemotherapy; they belonged to no particular diagnostic category. Eighty-eight percent of the GPs prescribed some kind of palliative medicine, such as analgesic, antiemetic, anxiolytic or antidepressant. Morphine was prescribed equally often by GPs and hospitals. Eighty-one percent of GPs reported having had a thorough conversation with the patient about the patient’s condition and circumstances. Conclusion: In this group of GPs, participation rates were high for most of the therapeutic and communicative tasks suggested in the questionnaire. GP participation is feasible not only in palliative care, but also in some aspects of oncological treatment and in clinical follow-up. Communication with both patient and hospital seemed good in this local ... Article in Journal/Newspaper North Norway Senter for omsorgsforskning: Omsorgsbiblioteket Norway Rural and Remote Health |
institution |
Open Polar |
collection |
Senter for omsorgsforskning: Omsorgsbiblioteket |
op_collection_id |
ftsfomsorgsforsk |
language |
unknown |
topic |
cancer continuity of patient care family practice general practice Norway palliative care patient care primary health care palliasjon palliativ omsorg |
spellingShingle |
cancer continuity of patient care family practice general practice Norway palliative care patient care primary health care palliasjon palliativ omsorg Holtedahl, Knut Scheel, Benedicte I. Johansen, May-Lill General practitioners' participation in cancer treatment in Norway |
topic_facet |
cancer continuity of patient care family practice general practice Norway palliative care patient care primary health care palliasjon palliativ omsorg |
description |
Introduction: General practitioners (GPs) participate in a patient’s cancer care to different extents at different times, from prevention and diagnosis to treatment and end-of-life care. Traditionally, the GP has had a minor role in cancer treatment. However, oncological and surgical services frequently delegate limited cancer treatment tasks to GPs, especially in rural areas far from hospitals. The aim of this study was to explore the extent of GPs’ participation in cancer treatment in Norway. Methods: This study was an observational questionnaire study. In 2007, the chief municipal medical officer in all 93 municipalities in North Norway and a 25% random sample (85 municipalities) in South Norway was asked to identify up to five GPs who had recently participated in local treatment of cancer patients, and to forward a patient questionnaire to them. Results: Seventy-eight GPs in 49 municipalities returned completed questionnaires for 118 patients, most of them with progressive disease and living in rural areas. All the GPs reported substantial participation in therapeutic tasks for this select group of patients. Not counting palliative treatment, 64% of the GPs participated in cancer treatment either directly, or indirectly through referrals. Twenty patients received chemotherapy; they belonged to no particular diagnostic category. Eighty-eight percent of the GPs prescribed some kind of palliative medicine, such as analgesic, antiemetic, anxiolytic or antidepressant. Morphine was prescribed equally often by GPs and hospitals. Eighty-one percent of GPs reported having had a thorough conversation with the patient about the patient’s condition and circumstances. Conclusion: In this group of GPs, participation rates were high for most of the therapeutic and communicative tasks suggested in the questionnaire. GP participation is feasible not only in palliative care, but also in some aspects of oncological treatment and in clinical follow-up. Communication with both patient and hospital seemed good in this local ... |
format |
Article in Journal/Newspaper |
author |
Holtedahl, Knut Scheel, Benedicte I. Johansen, May-Lill |
author_facet |
Holtedahl, Knut Scheel, Benedicte I. Johansen, May-Lill |
author_sort |
Holtedahl, Knut |
title |
General practitioners' participation in cancer treatment in Norway |
title_short |
General practitioners' participation in cancer treatment in Norway |
title_full |
General practitioners' participation in cancer treatment in Norway |
title_fullStr |
General practitioners' participation in cancer treatment in Norway |
title_full_unstemmed |
General practitioners' participation in cancer treatment in Norway |
title_sort |
general practitioners' participation in cancer treatment in norway |
publisher |
Rural Remote Health |
publishDate |
2018 |
url |
http://hdl.handle.net/11250/2642776 https://doi.org/10.22605/RRH4276 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
North Norway |
genre_facet |
North Norway |
op_source |
4276 18 Rural Remote Health 2 |
op_relation |
Holtedahl, K., Scheel, B.I. og Johansen, M.L. (2018): General practitioners ‘participation in cancer treatment in Norway. Rural Remote Health 18(2), 4276. http://hdl.handle.net/11250/2642776 https://doi.org/10.22605/RRH4276 |
op_rights |
Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no |
op_doi |
https://doi.org/10.22605/RRH4276 |
container_title |
Rural and Remote Health |
_version_ |
1792503379175407616 |