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EONS Poster diplay

879 - EONS Poster - Transmural collaborative care in oncology: Experiences of general practitioners


22 Oct 2018


EONS Poster diplay


Career Development;  Cancer Research

Tumour Site


michiel daem


Annals of Oncology (2018) 29 (suppl_8): viii689-viii693. 10.1093/annonc/mdy341


M. daem1, E. van Roekeghem2, M. Grypdonck2, P. Pype3

Author affiliations

  • 1 Cancer Center, Ghent University Hospital, 9000 - Ghent/BE
  • 2 University Centre For Nursing And Midwifery, Ghent University, 9000 - Ghent/BE
  • 3 Department Of Family Medicine And Primary Health Care, Ghent University, 9000 - Ghent/BE


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Abstract 879


Cancer care is mostly situated in hospitals. Advanced practice nurses (APN) play an increasing role in this care. The role of Belgian general practitioners (GPs) in oncology is unclear. Clarification of the roles taken up by GPs is necessary to understand how communication between those involved in the patients' care can be improved. The aim of this study is to explore what Flemish GPs see as their role in oncology and what relations and information is needed to provide care for oncology patients.


A qualitative study based on individual interviews with a convenience sample of 14 Flemish GPs. Techniques of Grounded Theory are used to analyze the data.


The participating GPs describe their role in the first and last phases of the illness trajectory as mostly clear. During the treatment and follow-up phase, their role is more variable because it depends on their perception of responsibility towards the patient. Their perception of medical responsibility, whether they work proactively and expectations of the specialist define care. As follow-up is less systematic, proactively working GPs feel like they are left out of care. They would like to receive more and timely information (on psychosocial aspects). There is no true transmural teamwork and GPs are rarely well informed about the role of APNs.


Because of the variety of roles GPs describe, differentiation in communication is recommended, where an APN could be involved. To improve this collaboration, across the borders of primary and secondary/tertiary care, further efforts are needed.

Clinical trial identification

Legal entity responsible for the study

Ghent University.


Has not received any funding.

Editorial Acknowledgement


All authors have declared no conflicts of interest.

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