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Research ArticleOriginal Research

Continuity of Cancer Care and Collaboration Between Family Physicians and Oncologists: Results of a Randomized Clinical Trial

Michèle Aubin, Lucie Vézina, René Verreault, Sébastien Simard, Éveline Hudon, Jean-François Desbiens, Lise Fillion, Serge Dumont, André Tourigny and Serge Daneault
The Annals of Family Medicine March 2021, 19 (2) 117-125; DOI: https://doi.org/10.1370/afm.2643
Michèle Aubin
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  • For correspondence: michele.aubin@mfa.ulaval.ca
Lucie Vézina
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René Verreault
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Sébastien Simard
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Éveline Hudon
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Jean-François Desbiens
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Lise Fillion
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Serge Dumont
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André Tourigny
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Serge Daneault
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Abstract

PURPOSE Collaboration between family physicians (FPs) and oncologists can be challenging. We present the results of a randomized clinical trial of an intervention designed to improve continuity of care and interprofessional collaboration, as perceived by patients with lung cancer and their FPs.

METHODS The intervention included (1) supplying FPs with standardized summaries related to each patient, (2) recommending that patients see their FP after receiving the cancer diagnosis, (3) supplying the oncology team with patient information resulting from FP visits, and (4) providing patients with priority access to FPs as needed. A total of 206 patients with newly diagnosed lung cancer were randomly assigned to the intervention (n = 104) or control group (n = 102), and 86.4% of involved FPs participated. Perceptions of continuity of care and interprofessional collaboration were assessed every 3 months for patients and at baseline and at the end of the study for FPs. Patient distress and health service utilization were also assessed.

RESULTS Patients and FPs in the intervention group perceived better interprofessional collaboration (patients: P <.0001; FPs: P = .0006) than those in the control group. Patients reported better informational continuity (P = .001) and management continuity (P = .05) compared to the control group, but no differences were found for FPs (information: P = .22; management: P = .13). No effect was found with regard to patient distress or health service utilization.

CONCLUSIONS This intervention improved patient and FP perception of interprofessional collaboration, but its effectiveness on continuity of care was less clear for FPs than for patients. Additional strategies should be considered to sustainably improve continuity of care and interprofessional collaboration.

Key words
  • continuity of care
  • interprofessional collaboration
  • lung cancer
  • oncology care
  • family physician
  • randomized clinical trial
  • Received for publication September 16, 2019.
  • Revision received June 23, 2020.
  • Accepted for publication June 29, 2020.
  • © 2021 Annals of Family Medicine, Inc.
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The Annals of Family Medicine: 19 (2)
The Annals of Family Medicine
Vol. 19, Issue 2
March/April 2021
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Continuity of Cancer Care and Collaboration Between Family Physicians and Oncologists: Results of a Randomized Clinical Trial
Michèle Aubin, Lucie Vézina, René Verreault, Sébastien Simard, Éveline Hudon, Jean-François Desbiens, Lise Fillion, Serge Dumont, André Tourigny, Serge Daneault
The Annals of Family Medicine Mar 2021, 19 (2) 117-125; DOI: 10.1370/afm.2643

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Continuity of Cancer Care and Collaboration Between Family Physicians and Oncologists: Results of a Randomized Clinical Trial
Michèle Aubin, Lucie Vézina, René Verreault, Sébastien Simard, Éveline Hudon, Jean-François Desbiens, Lise Fillion, Serge Dumont, André Tourigny, Serge Daneault
The Annals of Family Medicine Mar 2021, 19 (2) 117-125; DOI: 10.1370/afm.2643
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Subjects

  • Domains of illness & health:
    • Acute illness
  • Methods:
    • Quantitative methods
  • Core values of primary care:
    • Continuity
    • Coordination / integration of care

Keywords

  • continuity of care
  • interprofessional collaboration
  • lung cancer
  • oncology care
  • family physician
  • randomized clinical trial

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