PMID- 33464209
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210206
IS  - 1929-0748 (Print)
IS  - 1929-0748 (Electronic)
IS  - 1929-0748 (Linking)
VI  - 10
IP  - 1
DP  - 2021 Jan 19
TI  - A Shared Cancer Follow-Up Model of Care Between General Practitioners and 
      Radiation Oncologists for Patients With Breast, Prostate, and Colorectal Cancer: 
      Protocol for a Mixed Methods Implementation Study.
PG  - e21752
LID - 10.2196/21752 [doi]
LID - e21752
AB  - BACKGROUND: The rising incidence of cancer and increasing numbers of cancer 
      survivors have resulted in the need to find alternative models of care for cancer 
      follow-up care. The acceptability for follow-up care in general practice is 
      growing, and acceptance increases with shared-care models where oncologists 
      continue to oversee the care. However, a major barrier to this model is the 
      effective exchange of information in real time between oncologists and general 
      practitioners. Improved communication technology plays an important role in the 
      acceptability and feasibility of shared cancer follow-up care. OBJECTIVE: The aim 
      of this study is to evaluate the feasibility and acceptability of a shared cancer 
      follow-up model of care between patients, general practitioners and radiation 
      oncologists. METHODS: This is a mixed methods, multisite implementation study 
      exploring shared follow-up care for breast, colorectal, and prostate cancer 
      patients treated with curative radiotherapy in New South Wales, Australia. This 
      study uses web-based technology to support general practitioners in performing 
      some aspects of routine radiotherapy follow-up care, while being overseen by a 
      radiation oncologist in real time. The study has two phases: Phase 1 is designed 
      to establish the level of agreement between general practitioners and radiation 
      oncologists and Phase 2 is designed to implement shared follow-up care into 
      practice and to evaluate this implementation. RESULTS: Recruitment of radiation 
      oncologists, patients, and general practitioners commenced in December 2020 and 
      will continue until February 2021. Data collection will occur during 2021, and 
      data will be ready for analysis by the end of 2021. CONCLUSIONS: Few studies have 
      investigated the role of health technologies in supporting communication 
      deficiencies for shared cancer follow-up care. The implementation and evaluation 
      of models of care need to be conducted using a person-centered approach that is 
      responsive to patients' preferences and needs. Should the findings of the study 
      be acceptable and feasible to radiation oncologists, general practitioners, and 
      patients, it can be quickly implemented and expanded to other tumor groups or to 
      medical oncology and hematology. TRIAL REGISTRATION: Australian New Zealand 
      Clinical Trials Registry ACTRN12620001083987; 
      http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380057. 
      INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/21752.
CI  - (c)Tiffany Sandell, Heike Schutze, Andrew Miller. Originally published in JMIR 
      Research Protocols (http://www.researchprotocols.org), 19.01.2021.
FAU - Sandell, Tiffany
AU  - Sandell T
AUID- ORCID: 0000-0002-8935-7676
AD  - Wollongong Hospital, Wollongong, Australia.
AD  - University of Wollongong, Wollongong, Australia.
FAU - Schutze, Heike
AU  - Schutze H
AUID- ORCID: 0000-0003-4766-523X
AD  - University of Wollongong, Wollongong, Australia.
AD  - University of New South Wales, Sydney, Australia.
FAU - Miller, Andrew
AU  - Miller A
AUID- ORCID: 0000-0003-3044-3358
AD  - Wollongong Hospital, Wollongong, Australia.
AD  - University of Wollongong, Wollongong, Australia.
LA  - eng
PT  - Journal Article
DEP - 20210119
PL  - Canada
TA  - JMIR Res Protoc
JT  - JMIR research protocols
JID - 101599504
PMC - PMC7854032
OTO - NOTNLM
OT  - cancer
OT  - communication
OT  - follow-up
OT  - general practice
OT  - health technology
OT  - radiation oncology
OT  - shared care
COIS- Conflicts of Interest: None declared.
EDAT- 2021/01/20 06:00
MHDA- 2021/01/20 06:01
PMCR- 2021/01/19
CRDT- 2021/01/19 12:13
PHST- 2020/07/02 00:00 [received]
PHST- 2020/12/08 00:00 [accepted]
PHST- 2020/11/10 00:00 [revised]
PHST- 2021/01/19 12:13 [entrez]
PHST- 2021/01/20 06:00 [pubmed]
PHST- 2021/01/20 06:01 [medline]
PHST- 2021/01/19 00:00 [pmc-release]
AID - v10i1e21752 [pii]
AID - 10.2196/21752 [doi]
PST - epublish
SO  - JMIR Res Protoc. 2021 Jan 19;10(1):e21752. doi: 10.2196/21752.