Primary care providers, including general practice teams (GPTs), are well positioned within the community to integrate cancer survivorship care into ongoing health management. However, roles of GPT members in delivery of cancer survivorship care have not been explored. The purpose of this study is to explore these roles from the perspectives of General Practitioners (GPs), Practice Nurses (PNs) and Practice Managers (PMs). An interpretive qualitative study using semi-structured in-depth telephone interviews with ten GPs, nine PNs and five PMs was conducted. Interviews were recorded, transcribed and analysed using grounded theory methods. Perspectives of roles in delivery of cancer survivorship care were highly variable. Variation was evident among perceptions of needs of cancer survivors, individual team members’ scopes of practice, and individual professional knowledge and skills. A lack of clarity in roles and responsibilities of GPT members was thought to contribute to a lack of consistency in survivorship care. Reducing variations in perceptions of survivorship care in the primary care setting should be a priority. Such efforts may include development of practical guidance to support GPT members to clarify scopes of practice within the team. In addition to accessible comprehensive education programs, other innovative, tailored individualised education approaches may be helpful. System-level support in clarifying and supporting the roles of the primary care team is needed to facilitate a survivorship delivery system at general practice level where those within GPT can ensure that individual patients’ needs are met in a timely and effective manner.

中文翻译：

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癌症生存护理和一般实践：澳大利亚一般实践团队成员角色的定性研究

初级保健提供者，包括全科医疗团队 (GPT)，在社区内处于有利地位，可以将癌症生存护理纳入持续的健康管理。然而，尚未探索 GPT 成员在提供癌症生存护理中的作用。本研究的目的是从全科医生 (GP)、执业护士 (PN) 和执业经理 (PM) 的角度探讨这些角色。对 10 名 GP、9 名 PN 和 5 名 PM 进行了半结构化的深入电话访谈，进行了解释性定性研究。使用扎根的理论方法对访谈进行记录、转录和分析。在提供癌症生存护理中的作用的观点是高度可变的。对癌症幸存者需求的看法、个别团队成员的实践范围、和个人的专业知识和技能。GPT 成员的角色和责任缺乏明确性被认为是导致生存护理缺乏一致性的原因。减少初级保健机构中对幸存者护理的看法的差异应该是一个优先事项。此类工作可能包括制定实用指南，以支持 GPT 成员澄清团队内的实践范围。除了可访问的综合教育计划外，其他创新的、量身定制的个性化教育方法可能会有所帮助。需要系统层面的支持来澄清和支持初级保健团队的角色，以促进一般实践层面的生存交付系统，其中 GPT 内的人员可以确保及时有效地满足个体患者的需求。