General practice is still somewhat adrift in the complex world of cancer services
General practice has not traditionally had a central role in cancer care. Typically, general practitioners have had the task of identifying and referring patients to specialists in a timely manner, but have stayed on the periphery of cancer care until patients reach the palliative stage. But the climate is changing — driven partly by the growing burden of cancer and the need to expand and diversify the workforce. The prevalence of cancer has increased substantially in Western countries,1,2 largely due to the ageing of the population: in Australia, by the age of 75 years, the risk of cancer is 1 in 3 in men and 1 in 4 in women.1
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- 1 Division of Community Health Sciences, University of Edinburgh, Edinburgh, UK.
- 2 Centre for Primary Health Care and Equity, University of New South Wales, Sydney, NSW.
- 1. Australian Institute of Health and Welfare and Australasian Association of Cancer Registries. Cancer in Australia: an overview, 2006. Canberra: AIHW, 2007. (AIHW Cat. No. CAN 32; Cancer Series No. 37.)
- 2. Office for National Statistics, UK. Cancer statistics registrations: registrations of cancer diagnosed in 2004, England. London: ONS, 2006. (Series MB1 No. 35.)
- 3. Campbell NC, MacLeod U, Weller D. Primary care oncology: essential if high quality cancer care is to be achieved for all. Fam Pract 2002; 19: 577-578.
- 4. National Health Priority Action Council (NHPAC). National Service Improvement Framework for Cancer. Canberra: Australian Government Department of Health and Ageing, 2005.
- 5. Department of Health, UK. Cancer Reform Strategy. London: DH, 2007. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_081006 (accessed Jun 2008).
- 6. Kendall M, Boyd K, Campbell C, et al. How do people with cancer wish to be cared for in primary care? Serial discussion groups of patients and carers. Fam Pract 2006; 23: 644-650.
- 7. Fleissig A, Jenkins V, Catt S, Fallowfield L. Multidisciplinary teams in cancer care: are they effective in the UK? Lancet Oncol 2006; 7: 935-943.
- 8. Hanks H, Veitch C, Harris MF. Colorectal cancer management — the role of the GP. Aust Fam Physician 2008; 37: 259-261.
- 9. Jiwa M, Saunders CM, Thompson SC, et al. Timely cancer diagnosis and management as a chronic condition: opportunities for primary care. Med J Aust 2008; 189: 78-82.
- 10. Hewitt M, Greenfield S, Stovall E, editors. From cancer patient to cancer survivor: lost in transition. Washington, DC: National Academies Press, 2005.
- 11. Khan NF, Ward A, Watson E, et al. Long-term survivors of adult cancers and uptake of primary health services: a systematic review. Eur J Cancer 2008; 44: 195-204.
- 12. Murray SA, Kendall M, Boyd K, Sheikh A. Illness trajectories and palliative care. Clinical review. BMJ 2005; 330: 1007-1011.
- 13. Britt H, Miller GC, Knox S, et al. General practice activity in Australia 2001–02. Canberra: Australian Institute of Health and Welfare, 2002. (AIHW Cat. No. GEP 10; General Practice Series No. 10.)
- 14. Amoroso C, Hobbs C, Harris MF. General practice capacity for behavioural risk factor management: a snapshot of a needs assessment in Australia. Aust J Prim Health 2005; 11: 120-127.
- 15. Jallinoja P, Absetz P, Kuronen R, et al. The dilemma of patient responsibility for lifestyle change: perceptions among primary care physicians and nurses. Scand J Prim Health Care 2007; 25: 244-249.
- 16. Harris MF, Harris E. Facing the challenges: general practice in 2020. Med J Aust 2006; 185: 122-124. <MJA full text>
- 17. McAvoy B. General practitioners and cancer control. Med J Aust 2007; 187: 115-117. <MJA full text>