General practitioners' participation in cancer treatment in Norway
Source at https://doi.org/10.22605/RRH4276 . 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. How...
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ftunivtroemsoe:oai:munin.uit.no:10037/14674 2023-05-15T17:39:25+02:00 General practitioners' participation in cancer treatment in Norway Holtedahl, Knut Arne Scheel, Benedicte Johansen, May-Lill 2018-05-23 https://hdl.handle.net/10037/14674 https://doi.org/10.22605/RRH4276 eng eng James Cook University Rural and remote health Holtedahl, K.A., Scheel, B. & Johansen, M.-L. (2018). General practitioners' participation in cancer treatment in Norway. Rural and remote health, 18 (2). https://doi.org/10.22605/RRH4276 FRIDAID 1591450 doi:10.22605/RRH4276 1445-6354 https://hdl.handle.net/10037/14674 openAccess VDP::Medical disciplines: 700::Health sciences: 800 VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Oncology: 762 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Onkologi: 762 cancer continuity of patient care family practice general practice Norway palliative care patient care primary health care Journal article Tidsskriftartikkel Peer reviewed 2018 ftunivtroemsoe https://doi.org/10.22605/RRH4276 2021-06-25T17:56:19Z Source at https://doi.org/10.22605/RRH4276 . 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 setting. GPs are important helpers for some cancer patients. Article in Journal/Newspaper North Norway University of Tromsø: Munin Open Research Archive Norway Rural and Remote Health |
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Open Polar |
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University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medical disciplines: 700::Health sciences: 800 VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Oncology: 762 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Onkologi: 762 cancer continuity of patient care family practice general practice Norway palliative care patient care primary health care |
spellingShingle |
VDP::Medical disciplines: 700::Health sciences: 800 VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Oncology: 762 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Onkologi: 762 cancer continuity of patient care family practice general practice Norway palliative care patient care primary health care Holtedahl, Knut Arne Scheel, Benedicte Johansen, May-Lill General practitioners' participation in cancer treatment in Norway |
topic_facet |
VDP::Medical disciplines: 700::Health sciences: 800 VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Oncology: 762 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Onkologi: 762 cancer continuity of patient care family practice general practice Norway palliative care patient care primary health care |
description |
Source at https://doi.org/10.22605/RRH4276 . 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 setting. GPs are important helpers for some cancer patients. |
format |
Article in Journal/Newspaper |
author |
Holtedahl, Knut Arne Scheel, Benedicte Johansen, May-Lill |
author_facet |
Holtedahl, Knut Arne Scheel, Benedicte Johansen, May-Lill |
author_sort |
Holtedahl, Knut Arne |
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 |
James Cook University |
publishDate |
2018 |
url |
https://hdl.handle.net/10037/14674 https://doi.org/10.22605/RRH4276 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
North Norway |
genre_facet |
North Norway |
op_relation |
Rural and remote health Holtedahl, K.A., Scheel, B. & Johansen, M.-L. (2018). General practitioners' participation in cancer treatment in Norway. Rural and remote health, 18 (2). https://doi.org/10.22605/RRH4276 FRIDAID 1591450 doi:10.22605/RRH4276 1445-6354 https://hdl.handle.net/10037/14674 |
op_rights |
openAccess |
op_doi |
https://doi.org/10.22605/RRH4276 |
container_title |
Rural and Remote Health |
_version_ |
1766140192151830528 |