Continuity of cancer patient care in New Zealand; the general practitioner perspective

AIM: As cancer treatments become more effective, increasing numbers of cancer patients seek long-term support from general practice. This study aimed to canvass the perspective of GPs on issues around continuity of care for these patients. METHODS: In this qualitative study purposive sampling was used to invite a range of New Zealand GPs from urban and rural communities in the Greater Wellington and Otago/Southland areas to participate. A total of 34 GPs took part in three semi-structured individual interviews and six focus groups. RESULTS: Six main themes emerged; the participating GPs noted they wanted more involvement in their patients' cancer journeys but were not always clear of their place in relation to cancer specialists and other health care providers. They saw cancer as a chronic condition to be managed long term. They mentioned the breast cancer and palliative care models as examples to be followed. Poor communication and barriers for patients in accessing GP care were seen as areas for improvement. CONCLUSION: Participating GPs felt that the current cancer care pathway could be improved with a better understanding of their own role and through improved communication with patients, cancer specialists and other health professionals.