Exploring primary care physician feedback following an integrative oncology consultation
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer(2023)
摘要
Objective To explore responses from primary care physicians (PCPs) from an integrative physician (IP) consultation and recommended integrative oncology (IO) treatment program. Methods Chemotherapy-treated patients were referred by their oncology healthcare professional to an IP, a physician dually trained in complementary medicine and supportive cancer care. The consultation summary and patient-centered IO treatment program was then sent to the patient’s PCP, with PCP-to-IP responses analyzed qualitatively using ATLAS.Ti software for systematic coding and content analysis. Trial Registration Number NCT01860365 published May 22, 2013. Results Of the 597 IP consultations conducted, 470 (78.7%) summaries were sent to patients’ PCPs, with only 69 (14.7%) PCP-to-IP responses returned. PCPs were more likely to respond if the patient was Hebrew-speaking (78.3% vs. 65.1%, P = 0.032). Systematic coding identified four predominant themes among PCP narratives: addressing the patient’s medical condition and leading QoL-related concerns; patient-centered reflections; available resources providing support and promoting resilience; and PCP attitudes to the IO treatment program. Conclusion PCP-IP communication can provide valuable insight into the patient’s bio-psycho-social care, addressing the patient’s health-belief model, emotional concerns, caregiver-related factors, preferences, and barriers to adherence to IO care. Practice implications Healthcare services should consider promoting IP-PCP communication in order to facilitate better patient outcomes from an IO treatment program.
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关键词
Integrative medicine,Integrative oncology,Patient-centered care,Doctor-patient communication,Primary care physician
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