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Published in:

01-10-2016

Breast and prostate cancer survivors’ experiences of patient-centered cancer follow-up care from primary care physicians and oncologists

Authors: Shawna V. Hudson, Pamela A Ohman-Strickland, Alicja Bator, Denalee O’Malley, Daniel Gundersen, Heather S. Lee, Benjamin F. Crabtree, Suzanne M. Miller

Published in: Journal of Cancer Survivorship | Issue 5/2016

Abstract

Purpose

Patient-physician relationships impact health care seeking and preventive screening behaviors among patients. At the end of active treatment some cancer survivors report feeling disconnected from their care team. This study explores cancer survivors’ experiences of patient-centered cancer follow-up care provided by primary care physicians (PCP) and oncologists (ONC).

Methods

Three hundred five early stage, breast and prostate cancer survivors at least 2 years post treatment were surveyed from four community hospital oncology programs in New Jersey. Participants reported receipt of patient-centered care measured by care coordination, comprehensiveness of care, and personal relationship with PCPs and ONCs.

Results

PCPs received higher ratings for coordination of care and comprehensive care than ONCs from all survivors (P < 0.01). However, prostate and breast cancer survivors rated strengths of their personal bonds with the physicians differently. While prostate cancer survivors rated PCPs significantly higher for all items (P < 0.028), breast cancer survivors rated ONCs significantly higher on four out of seven items including having been through a lot together, understanding what is important regarding health, knowing their medical history and taking their beliefs and wishes into account (P < 0.036).

Conclusions

Prostate and breast cancer survivors report different experiences with their PCPs and oncologists around the comprehensiveness and coordination of their cancer follow-up care in addition to the strength of their relationships with their physicians.

Implications for Cancer Survivors

There are important differences in the experience of patient-centered care among cancer survivors that should be considered when planning care models and interventions for these different populations.

Siegel R, Desantis C, Virgo K, Stein K, Mariotto A, Smith T, et al. Cancer treatment and survivorship statistics, 2012. CA: Cancer J Clin. 2012. doi:10.3322/caac.21149.

DeSantis CE, Lin CC, Mariotto AB, Siegel RL, Stein KD, Kramer JL, et al. Cancer treatment and survivorship statistics, 2014. CA: Cancer J Clin. 2014;64(4):252–71. doi:10.3322/caac.21235.

Parry C, Kent EE, Mariotto AB, Alfano CM, Rowland JH. Cancer survivors: a booming population. Cancer Epidemiol, Biomark Prev : Publ Am Assoc Cancer Res cosponsored by the Am Soc Prev Oncol. 2011;20(10):1996–2005. doi:10.1158/1055-9965.EPI-11-0729.CrossRef

Aziz NM, Oeffinger KC, Brooks S, Turoff AJ. Comprehensive long-term follow-up programs for pediatric cancer survivors. Cancer. 2006;107(4):841–8.CrossRefPubMed

Bellizzi KM, Rowland JH, Jeffery DD, McNeel T. Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol. 2005;23(34):8884–93.CrossRefPubMed

Aziz NM, Rowland JH. Trends and advances in cancer survivorship research: challenge and opportunity. Semin Radiat Oncol. 2003;13(3):248–66.CrossRefPubMed

Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM. Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol. 2005;23(24):5814–30.CrossRefPubMedPubMedCentral

Oeffinger KC, McCabe MS. Models for delivering survivorship care. J Clin Oncol. 2006;24(32):5117–24.CrossRefPubMed

Lafata JE, Salloum RG, Fishman PA, Ritzwoller DP, O’Keeffe-Rosetti MC, Hornbrook MC. Preventive care receipt and office visit use among breast and colorectal cancer survivors relative to age- and gender-matched cancer-free controls. J Cancer Surviv: Res Pract. 2015;9(2):201–7. doi:10.1007/s11764-014-0401-3.CrossRef

10.

Oeffinger KC, Wallace WH. Barriers to follow-up care of survivors in the United States and the United Kingdom. Pediatr Blood Cancer. 2006;46(2):135–42.CrossRefPubMed

11.

Pollack LA, Adamache W, Ryerson AB, Eheman CR, Richardson LC. Care of long-term cancer survivors: physicians seen by Medicare enrollees surviving longer than 5 years. Cancer. 2009;115(22):5284–95. doi:10.1002/cncr.24624.CrossRefPubMed

12.

Underwood JM, Townsend JS, Stewart SL, Buchannan N, Ekwueme DU, Hawkins NA, et al. Surveillance of demographic characteristics and health behaviors among adult cancer survivors—behavioral risk factor surveillance system, United States, 2009. MMWR Surveill Summ : Morb Mortal Wkly Rep Surveill Summ / CDC. 2012;61 Suppl 1:1–23.

13.

Findley PA, Sambamoorthi U. Preventive health services and lifestyle practices in cancer survivors: a population health investigation. J Cancer Surviv : Res Pract. 2009;3(1):43–58. doi:10.1007/s11764-008-0074-x.CrossRef

14.

McCabe MS, Partridge AH, Grunfeld E, Hudson MM. Risk-based health care, the cancer survivor, the oncologist, and the primary care physician. Semin Oncol. 2013;40(6):804–12. doi:10.1053/j.seminoncol.2013.09.004.CrossRefPubMedPubMedCentral

15.

McCabe MS, Bhatia S, Oeffinger KC, Reaman GH, Tyne C, Wollins DS, et al. American Society of Clinical Oncology statement: achieving high-quality cancer survivorship care. J Clin Oncol. 2013;31(5):631–40. doi:10.1200/JCO.2012.46.6854.CrossRefPubMedPubMedCentral

16.

Cheung WY, Neville BA, Cameron DB, Cook EF, Earle CC. Comparisons of patient and physician expectations for cancer survivorship care. J Clin Oncol. 2009;27(15):2489–95.CrossRefPubMed

17.

Halpern MT, Viswanathan M, Evans TS, Birken SA, Basch E, Mayer DK. Models of cancer survivorship care: overview and summary of current evidence. J Oncol Pract / Am Soc Clin Oncol. 2014. doi:10.1200/JOP.2014.001403.

18.

Bell RA, Kravitz RL, Thom D, Krupat E, Azari R. Unmet expectations for care and the patient‐physician relationship. J Gen Intern Med. 2002;17(11):817–24.CrossRefPubMedPubMedCentral

19.

Rowland JH, Hewitt M, Ganz PA. Cancer survivorship: a new challenge in delivering quality cancer care. J Clin Oncol. 2006;24(32):5101–4.CrossRefPubMed

20.

National Research Council. Delivering high-quality cancer care: charting a new course for a system in crisis. Washington, DC: National Academies Press; 2013.

21.

Nutting PA, Crabtree BF, Miller WL, Stange KC, Stewart E, Jaen C. Transforming physician practices to patient-centered medical homes: lessons from the national demonstration project. Health Aff. 2011;30(3):439–45. doi:10.1377/hlthaff.2010.0159.CrossRef

22.

Crabtree BF, Nutting PA, Miller WL, Stange KC, Stewart EE, Jaen CR. Summary of the National Demonstration Project and recommendations for the patient-centered medical home. Ann Fam Med. 2010;8 Suppl 1:S80–90; S2. doi:10.1370/afm.1107.CrossRefPubMedPubMedCentral

23.

Crabtree BF, Chase SM, Wise CG, Schiff GD, Schmidt LA, Goyzueta JR, et al. Evaluation of patient centered medical home practice transformation initiatives. Med Care. 2011;49(1):10–6. doi:10.1097/MLR.0b013e3181f80766.CrossRefPubMedPubMedCentral

24.

Nutting PA, Crabtree BF, Stewart EE, Miller WL, Palmer RF, Stange KC, et al. Effect of facilitation on practice outcomes in the National Demonstration Project model of the patient-centered medical home. Ann Fam Med. 2010;8 Suppl 1:S33–44; S92. doi:10.1370/afm.1119.CrossRefPubMedPubMedCentral

25.

Stange KC, Miller WL, Nutting PA, Crabtree BF, Stewart EE, Jaen CR. Context for understanding the National Demonstration Project and the patient-centered medical home. Ann Fam Med. 2010;8 Suppl 1:S2–8; S92. doi:10.1370/afm.1110.CrossRefPubMedPubMedCentral

26.

Stewart EE, Nutting PA, Crabtree BF, Stange KC, Miller WL, Jaen CR. Implementing the patient-centered medical home: observation and description of the national demonstration project. Ann Fam Med. 2010;8 Suppl 1:S21–32; S92. doi:10.1370/afm.1111.CrossRefPubMedPubMedCentral

27.

Stange KC, Nutting PA, Miller WL, Jaen CR, Crabtree BF, Flocke SA, et al. Defining and measuring the patient-centered medical home. J Gen Intern Med. 2010;25(6):601–12. doi:10.1007/s11606-010-1291-3.CrossRefPubMedPubMedCentral

28.

Nutting PA, Miller WL, Crabtree BF, Jaen CR, Stewart EE, Stange KC. Initial lessons from the first national demonstration project on practice transformation to a patient-centered medical home. Ann Fam Med. 2009;7(3):254–60. doi:10.1370/afm.1002.CrossRefPubMedPubMedCentral

29.

Ferrante JM, Balasubramanian BA, Hudson SV, Crabtree BF. Principles of the patient-centered medical home and preventive services delivery. Ann Fam Med. 2010;8(2):108–16. doi:10.1370/afm.1080.CrossRefPubMedPubMedCentral

30.

Mead H, Andres E, Regenstein M. Underserved patients’ perspectives on patient-centered primary care: does the patient-centered medical home model meet their needs? Med Care Res Rev. 2014;71(1):61–84. doi:10.1177/1077558713509890.CrossRefPubMed

31.

Hudson SV, Miller SM, Hemler J, McClinton A, Oeffinger KC, Tallia A, et al. Cancer survivors and the patient-centered medical home. Transl Behav Med. 2012;2(3):322–31. doi:10.1007/s13142-012-0138-3.CrossRefPubMedPubMedCentral

32.

Flocke SA. Measuring attributes of primary care: development of a new instrument. J Fam Pract. 1997;45(1):64–74.PubMed

33.

Flocke SA, Miller WL, Crabtree BF. Relationships between physician practice style, patient satisfaction, and attributes of primary care. J Fam Pract. 2002;51(10):835–40.PubMed

34.

Flocke SA, Stange KC, Zyzanski SJ. The association of attributes of primary care with the delivery of clinical preventive services. Med Care. 1998;36(8 Suppl):AS21–30.PubMed

35.

Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373–83.CrossRefPubMed

36.

Earle CC, Burstein HJ, Winer EP, Weeks JC. Quality of non-breast cancer health maintenance among elderly breast cancer survivors. J Clin Oncol. 2003;21(8):1447–51.CrossRefPubMed

37.

Snyder CF, Earle CC, Herbert RJ, Neville BA, Blackford AL, Frick KD. Trends in follow-up and preventive care for colorectal cancer survivors. J Gen Intern Med. 2008;23(3):254–9.CrossRefPubMedPubMedCentral

38.

DiCicco-Bloom B, Cunningham RS. The experience of information sharing among primary care clinicians with cancer survivors and their oncologists. J Cancer Surviv. 2013;7(1):124–30.CrossRefPubMed

39.

Mao JJ, Bowman MA, Stricker CT, DeMichele A, Jacobs L, Chan D, et al. Delivery of survivorship care by primary care physicians: the perspective of breast cancer patients. J Clin Oncol. 2009;27(6):933–8.CrossRefPubMed

40.

Kiss A, Meryn S. Effect of sex and gender on psychosocial aspects of prostate and breast cancer. BMJ. 2001;323(7320):1055–8. doi:10.1136/bmj.323.7320.1055.CrossRefPubMedPubMedCentral

41.

Hall J, Roter D. Patient gender and communication with physicians: results of a community-based study. Women’s health (Hillsdale, NJ). 1994;1 (1):77–95.

42.

Street Jr RL, Gordon HS, Ward MM, Krupat E, Kravitz RL. Patient participation in medical consultations: why some patients are more involved than others. Med Care. 2005;43(10):960–9.CrossRefPubMed

43.

Fleishman JA, Lawrence WF. Demographic variation in SF-12 scores: true differences or differential item functioning? Med Care. 2003;41(7):III-75–86.CrossRef

44.

Scott JG, Cohen D, DiCicco-Bloom B, Miller WL, Stange KC, Crabtree BF. Understanding healing relationships in primary care. Ann Fam Med. 2008;6(4):315–22. doi:10.1370/afm.860.CrossRefPubMedPubMedCentral

45.

Kantsiper M, McDonald E, Geller G, Shockney L, Snyder C, Wolff A. Transitioning to breast cancer survivorship: perspectives of patients, cancer specialists, and primary care providers. J Gen Intern Med. 2009;24(2):459–66. doi:10.1007/s11606-009-1000-2.CrossRefPubMedCentral

Title: Breast and prostate cancer survivors’ experiences of patient-centered cancer follow-up care from primary care physicians and oncologists
Authors: Shawna V. Hudson
Pamela A Ohman-Strickland
Alicja Bator
Denalee O’Malley
Daniel Gundersen
Heather S. Lee
Benjamin F. Crabtree
Suzanne M. Miller
Publication date: 01-10-2016
Publisher: Springer US
Published in: Journal of Cancer Survivorship / Issue 5/2016
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI: https://doi.org/10.1007/s11764-016-0537-4

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