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Are general practitioners getting the information they need from hospitals and specialists to provide quality cancer care for Indigenous Australians?

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dc.contributor.authorValery P.C.
dc.contributor.authorBernardes C.M.
dc.contributor.authorde Witt A.
dc.contributor.authorMartin J.
dc.contributor.authorWalpole E.
dc.contributor.authorGarvey G.
dc.contributor.authorWilliamson D.
dc.contributor.authorMeiklejohn J.
dc.contributor.authorHartel G.
dc.contributor.authorRatnasekera I.U.
dc.contributor.authorBailie R.
dc.date.accessioned2024-11-19T05:29:43Z
dc.date.available2024-11-19T05:29:43Z
dc.date.copyright2020
dc.date.issued2020-01-17en
dc.description.abstractBackground: Cancer care involves many different healthcare providers. Delayed or inaccurate communication between specialists and general practitioners (GP) may negatively affect care. Aim(s): To describe the pattern and variation of communication between primary healthcare (PHC) services and hospitals and specialists in relation to the patient's cancer care. Method(s): A retrospective audit of clinical records of Indigenous Australians diagnosed with cancer during 2010-2016 identified through 10 PHC services in Queensland is described. Poisson regression was used to model the dichotomous outcome availability of hospital discharge summary versus not. Result(s): A total of 138 patient records was audited; 115 of those patients visited the PHC service for cancer-related care after cancer diagnosis; 40.0% visited the service before a discharge summary was available, and 36.5% of the patients had no discharge summary in their medical notes. While most discharge summaries noted important information about the patient's cancer, 42.4% lacked details regarding the discharge medications regimen. Conclusion(s): Deficits in communication and information transfer between specialists and GP may adversely affect patient care. Indigenous Australians are a relatively disadvantaged group that experience poor health outcomes and relatively poor access to care. The low proportion of discharge summaries noting discharge medication regimen is of concern among Indigenous Australians with cancer who have high comorbidity burden and low health literacy. Our findings provide an insight into some of the factors associated with quality of cancer care, and may provide guidance for focus areas for further research and improvement efforts.Copyright © 2019 Royal Australasian College of Physicians
dc.description.grantOrganisation: (MSHR) Menzies School of Health Research Organisation No: 100012661 Country: Australia
dc.description.grantNo: 1041111 Organisation: (NHMRC) National Health and Medical Research Council Organisation No: 501100000925 Country: Australia
dc.description.grantNo: 1044433 Organisation: (NHMRC) National Health and Medical Research Council Organisation No: 501100000925 Country: Australia
dc.description.grantNo: 1083090 Organisation: (NHMRC) National Health and Medical Research Council Organisation No: 501100000925 Country: Australia
dc.description.grantNo: 1105399 Organisation: (NHMRC) National Health and Medical Research Council Organisation No: 501100000925 Country: Australia
dc.description.grantNo: SRP 13-01 Organisation: Cancer Council NSW Organisation No: 501100001102 Country: Australia
dc.description.grantThe authors acknowledge the ongoing support of the Lowitja Institute, Australia's National Institute for Aboriginal and Torres Strait Islander Health Research.
dc.identifier.citationInternal Medicine Journal. Vol.50(1), 2020, pp. 38-47.
dc.identifier.doihttps://dx.doi.org/10.1111/imj.14356
dc.identifier.institution(Valery, Bernardes, Hartel, Ratnasekera) Population Health, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia
dc.identifier.institution(de Witt, Garvey) Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia
dc.identifier.institution(de Witt) Faculty of Health, Translational Research Institute, Queensland University of Technology, Brisbane, QLD, Australia
dc.identifier.institution(Martin) School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia
dc.identifier.institution(Walpole) Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, QLD, Australia
dc.identifier.institution(Williamson) Aboriginal and Torres Strait Islander Health Unit, Queensland Health, Brisbane, QLD, Australia
dc.identifier.institution(Meiklejohn) Orange Sky Australia, Brisbane, QLD, Australia
dc.identifier.institution(Ratnasekera) School of Medicine, The University of Queensland, Brisbane, QLD, Australia
dc.identifier.institution(Bailie) University Centre for Rural Health, The University of Sydney, Lismore, NSW, Australia
dc.identifier.pubmedid31081226 [https://www.ncbi.nlm.nih.gov/pubmed/?term=31081226]
dc.identifier.urihttps://lowitja.intersearch.com.au/handle/1/500
dc.relation.ispartofInternal Medicine Journal
dc.subject.keywordsCancer
dc.titleAre general practitioners getting the information they need from hospitals and specialists to provide quality cancer care for Indigenous Australians?
dc.typeArticle

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