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Patient Preferences for Primary Care Provider Roles in Breast Cancer Survivorship Care
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9 1 2017
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Source: J Clin Oncol. 35(25):2942-2948
[PDF-457.50 KB]
Details:
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Alternative Title:J Clin Oncol
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Personal Author:
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Description:Purpose
Prior studies suggest a need for greater clarity about provider roles in team-based cancer care. However, little is known about patient’s preferences for which providers handle their care needs after primary cancer treatment.
Methods
We surveyed women newly diagnosed with stages 0-II breast cancer who were treated in 2014–15 as reported to the Georgia and Los Angeles SEER registries (N=2,372, 68% response rate). Patient preferences for which provider handles the following care needs after treatment were ascertained: follow-up mammograms, screening for other cancers, general preventive care, and comorbidity management. The associations between patient demographic factors with preferences for provider roles (Oncology-directed care vs. primary care provider (PCP)-directed) were assessed using multivariable logistic regression.
Results
The majority of women preferred that their PCPs handle their general preventive care (79%) and comorbidity care (84%), but a notable minority of women preferred their oncologists direct this care (21% and 16%). Minority women (black and Asian vs. white) and women with a high school education or less (vs. college grad or more) had a greater odds of preferring oncology-directed care (vs. PCP-directed) for their general preventive care (black OR: 2.01, 95%CI: 1.43, 2.82; Asian OR: 1.74, 95%CI: 1.13, 2.69; ≤ high school OR: 1.51, 95%CI: 1.10, 2.08). Similar variation existed for comorbidity care.
Conclusion
In this sample, minority women and those with less education more often preferred oncologists direct aspects of their care after breast cancer treatment that are normally delivered by a PCP. Efforts to clarify provider roles in survivorship care to patients may be effective in improving team-based cancer care.
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Pubmed ID:28700276
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Pubmed Central ID:PMC5575964
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Volume:35
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Issue:25
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