PURPOSE To evaluate primary care physicians' (PCPs) role in survivorship care of older breast cancer survivors, their experiences and opinions of survivorship care plans (SCPs), and suggestions for improving care coordination and facilitation of SCPs among older (≥ 65 years) breast cancer survivors. METHODS A web-based questionnaire was completed individually by PCPs about their training and what areas of survivorship they address under their care. A subset of survey participants were interviewed about survivorship care, care coordination, and the appropriateness and effects of SCPs on older breast cancer survivors' outcomes. RESULTS Physician participants (N = 29) had an average of 13.5 years in practice. PCPs surveyed that their main role was to provide general health promotion and their least common role was to manage late- and/or long-term effects. Semi-structured interviews indicated that the majority of PCPs did not receive a SCP from their patients' oncologists and that communication regarding survivorship care was poor. Participants' suggestions for improvements to SCPs and survivorship care included regular communication with oncologists, delegation from oncologists regarding roles, and mutual understanding of each other's roles. CONCLUSION PCPs indicated that survivorship care and SCPs should be improved, regarding communication and roles related to their patients' survivorship. PCPs should assume an active role to enhance PCP-oncologist communication. Future research in PCPs' role in survivorship care in a broad, diverse cancer survivor population is warranted. IMPLICATIONS FOR CANCER SURVIVORS More attention needs to focus on the importance of PCPs, as they are an integral part of dual management for older breast cancer survivors post-treatment.

中文翻译：

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初级保健医生对老年乳腺癌幸存者的幸存护理的观点：一项试点研究。

目的评估初级保健医生（PCPs）在老年乳腺癌幸存者的生存护理中的作用，他们对生存护理计划（SCP）的经验和看法，以及改善老年（≥65岁）乳腺癌的护理协调和促进SCP的建议癌症幸存者。方法PCP会分别完成有关他们的培训以及他们所照顾的生存领域的网络问卷。对一部分调查参与者进行了采访，内容涉及幸存者护理，护理协调以及SCP对老年乳腺癌幸存者预后的适当性和影响。结果医师参与者（N = 29）在实践中平均有13.5年。PCP进行了调查，他们的主要作用是提供全面的健康促进，而最不常见的作用是管理近期和/或长期影响。半结构化访谈表明，大多数PCP都没有从患者肿瘤科医生那里获得SCP，并且关于生存护理的交流很差。参与者对改善SCP和生存护理的建议包括与肿瘤科医生进行定期交流，肿瘤科医生关于角色的授权以及相互了解彼此的角色。结论PCP指出，在与患者生存相关的沟通和作用方面，应改善生存护理和SCP。PCP应该扮演积极的角色，以加强PCP与肿瘤科医生的沟通。PCP在广泛的，癌症幸存者人群的多样性是必要的。对癌症幸存者的影响由于PCP是治疗后老年乳腺癌幸存者双重管理的组成部分，因此需要更多地关注PCP的重要性。