Background International guidelines underline the importance of strengthening the coordination and continuity of cancer care. The different roles of general practitioners and oncologists with regard to treatment, follow-up and rehabilitation during and after cancer treatment are often obscure to cancer patients. Parallel courses of healthcare are often taking place instead of coordinated care characterized by continuity and partnership between care providers. Patients may feel uncertain about the health professionals' skills and area of responsibility. Healthcare seeking and support during and after cancer treatment may, therefore, be inappropriate, leaving patients feeling insecure and lost between care providers.The study aims to design and evaluate a new way of communication and shared decision-making that brings the patient, the oncologist and general practitioner together in a shared video-consultation in the early phase of chemotherapeutic treatment. The effect of the intervention in addition to usual care will be tested in a randomized controlled trial at Vejle Hospital in the Region of Southern Denmark. Based on sample size calculation, investigators intent to include 300 patients at the Department of Oncology and their general practitioners. Results and process outcomes will be evaluated qualitatively and quantitatively, questionnaires to patients, general practitioners and oncologists, and data from registers.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Enrollment
281
At the start of the patients chemotherapy treatment a shared video consultation between the patient, general practitioner and oncologist will bee arranged. The video consultation should address distribution of roles, comorbidity, medicine, depression and anxiety symptoms, relatives and social resources.
Department of Oncology, Vejle Hospital, Region of Southern Denmark
Vejle, Denmark
Shared Care questionnaire
Patient reported outcome measure. Cancer patients assessment of their cancer trajectory and their assessment of the cooperation between their General Practitioner and the oncologist specialist.
Time frame: 7 month after inclusion
Illness Intrusiveness Rating Scale (IIRS)
Patient reported outcome measure. Patients assessment of the cancer disease influence on their daily living.
Time frame: 4 and 7 month after inclusion
European Organisation for Research and Treatment of Cancer - Quality of Life questionnaire - Core 30 (EORTC QLQ C30)
Patient reported outcome measure. Cancer patients assessment of their quality of life
Time frame: 4 and 7 month after inclusion
European Organisation for Research and Treatment of Cancer - Quality of Life- information questionnaire (EORTC QLQ INFO25)
Time frame: 4 and 7 month after inclusion
Generalised Anxiety Disorder Assessment (GAD-7)
Patient reported outcome measure. Screening tool and severity measure for generalised anxiety disorder
Time frame: 4 and 7 month after inclusion
Patient Health Questionnaire (PHQ-9)
Patient reported outcome measure.The questionnaire monitor the severity of depression and response to treatment.
Time frame: 4 and 7 month after inclusion
Oncologist assessment of a video consultation between the patient, General practitioner and oncologist.
It measures the oncologist perception of the benefits with the video consultation intervention. Only the intervention group
Time frame: Directly after the video consultation intervention
General practitioners assessment of a video consultation between the patient, General practitioner and oncologist.
It measures the General Practitioners perception of the benefits with the video consultation intervention. Only the intervention group.
Time frame: Directly after the video consultation intervention
Patients assessment of a video consultation between the patient, General practitioner and oncologist.
It measures the patients perception of the benefits with the video consultation intervention.Only the intervention group
Time frame: Directly after the video consultation intervention
General Practitioner cancer trajectory assessment
The General Practitioners assessment of the cooperation between the primary and secondary care regarding af specific cancer patient.
Time frame: 4 month after the inclusion of the patient.
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