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Quality of Care for Chronic Diseases in a British Cohort of Long-Term Cancer Survivors
Nada F. Khan , and colleagues
Background Research from the United States has shown that long-term cancer survivors with other chronic diseases may receive poorer care for those diseases compared with the general population. This study set out to establish the quality of care for chronic diseases in cancer survivors in the United Kingdom.
What This Study Found Chronic disease is well managed in British primary care � most cancer survivors who are not at the end of life receive the same level of care as noncancer patients. Analysis of records on 21,366 adult cancer patients reveals that, in British primary care, history of cancer is not associated with poorer management of hypertension, diabetes, cerebrovascular disease, or coronary artery disease.
Implications
- This difference in quality of care between the United States and United Kingdom may be the result of differences in health care delivery. Specifically, the introduction of incentives for chronic disease monitoring, universal health care, and a clear role for primary care in the UK may help ensure appropriate comprehensive care for adult cancer survivors.