Abstract
Introduction: Research has demonstrated the importance of general practitioners in providing care for cancer patients within the concept of ‘care closer to home’. This study reports cancer patients’ views and expectations on integrated cancer care in primary care settings in Brunei. Methods: A qualitative approach using semi-structured in-depth interviews with cancer patients were conducted. The interviews were recorded, transcribed, and analysed using thematic analysis. Results: 13 cancer patients participated and were interviewed, leading to three key themes that emerged from this study: (i) perceived challenges for providing cancer care at primary care settings; (ii) current health care system favours hospital-based cancer care and (iii) expectations towards integration of cancer care into primary care. Conclusion: Participants expressed their acceptance to the concept of primary care-based cancer care, mainly due to convenience and minimised waiting time. For this to be in place, there is a need for stronger communication channels between general practitioners and hospital physicians, familiarity of patients’ cases among general practitioners, in-depth knowledge and experience of general practitioners in cancer care, and consulting the same general practitioners to provide continuity of care.
Highlights
Research has demonstrated the importance of general practitioners in providing care for cancer patients within the concept of ‘care closer to home’
Cancer diagnosis remains challenging in primary care as cancer patients present to general practitioners’ (GP) without any cancer alarming symptoms as shown in a study by Jensen et al [23]
In the United Kingdom, cancer care two-week wait referral pathways aim to improve patients’ satisfaction, reduce waiting times to be seen by specialists, and earlier diagnosis, which would result in better prognosis of patients [24]
Summary
Research has demonstrated the importance of general practitioners in providing care for cancer patients within the concept of ‘care closer to home’. Results: 13 cancer patients participated and were interviewed, leading to three key themes that emerged from this study: (i) perceived challenges for providing cancer care at primary care settings; (ii) current health care system favours hospital-based cancer care and (iii) expectations towards integration of cancer care into primary care. Conclusion: Participants expressed their acceptance to the concept of primary care-based cancer care, mainly due to convenience and minimised waiting time. For this to be in place, there is a need for stronger communication channels between general practitioners and hospital physicians, familiarity of patients’ cases among general practitioners, in-depth knowledge and experience of general practitioners in cancer care, and consulting the same general practitioners to provide continuity of care. It has been predicted that integrated cancer care may save up to 75% of health care costs [12]
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