Table 3.
Bivariate associations of physicians’ beliefs, preferences, and care coordination with cancer-related follow-up care for breast and colon cancer survivors, by role pattern1 and specialty
| Total2 | Provides | Comanages | Not directly involved |
Other | P-value | Total2 | Provides | Comanages | Not directly involved |
Other | P-value | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| % | % | % | % | % | % | % | % | % | % | |||
| PCPs have the skills to: | Primary care (n=989) | Oncology (n=1114) | ||||||||||
| Provide follow-up care for cancer or its treatment effects: |
<0.0001 | 0.0004 | ||||||||||
| Agree breast and/or colon | 63.1 | 15.0 | 33.6 | 18.3 | 33.1 | 25.1 | 58.5 | 14.6 | 2.2 | 24.7 | ||
| Neutral or disagree | 36.9 | 4.5 | 25.3 | 36.9 | 33.3 | 74.9 | 74.0 | 9.0 | 0.8 | 16.3 | ||
| Initiate appropriate screening or diagnostic work-up to detect recurrent cancer: |
<0.0001 | <0.0001 | ||||||||||
| Agree breast and/or colon | 77.7 | 12.3 | 34.0 | 20.1 | 33.6 | 39.4 | 61.6 | 12.7 | 1.6 | 24.0 | ||
| Neutral or disagree | 22.3 | 7.3 | 19.0 | 42.4 | 31.2 | 60.6 | 75.9 | 8.8 | 0.8 | 14.5 | ||
| PCPs should have primary responsibility for cancer-related follow-up care of cancer survivors |
<0.0001 | 0.0048 | ||||||||||
| Agree breast and/or colon | 34.4 | 20.3 | 34.5 | 12.3 | 32.8 | 14.5 | 57.3 | 12.6 | 5.7 | 24.4 | ||
| Neutral or disagree | 65.6 | 6.4 | 28.3 | 32.0 | 33.3 | 85.5 | 72.6 | 10.0 | 0.3 | 17.2 | ||
| Prefers a shared model of survivorship care |
<0.0001 | <0.0001 | ||||||||||
| Yes | 42 | 12.0 | 41.2 | 16.6 | 30.3 | 18.1 | 54.5 | 24.7 | 1.6 | 19.2 | ||
| No | 58 | 10.6 | 22.1 | 31.6 | 35.7 | 81.9 | 73.7 | 7.1 | 1.0 | 18.1 | ||
| PCP receives/Oncologist provides a summary with detailed cancer treatment information from the oncologist/to the PCP: |
0.0075 | 0.0073 | ||||||||||
| Always/Almost always | 35.0 | 10.1 | 31.4 | 24.8 | 33.7 | 49.5 | 74.2 | 9.6 | 1.1 | 15.1 | ||
| Often | 29.3 | 9.8 | 35.7 | 24.1 | 30.5 | 26.4 | 66.5 | 12.2 | 1.8 | 19.5 | ||
| Sometimes | 21.3 | 12.7 | 31.1 | 18.1 | 38.2 | 15.6 | 66.3 | 10.6 | 0.0 | 23.0 | ||
| Rarely/Never | 14.5 | 14.3 | 16.6 | 37.3 | 31.9 | 8.5 | 64.1 | 9.3 | 1.0 | 25.7 | ||
| PCP receives/Oncologist provides a follow-up care plan with recommendations for future care and surveillance cancer treatment information from the oncologist/to the PCP: |
0.2074 | 0.0008 | ||||||||||
| Always/Almost always | 16.0 | 9.5 | 32.0 | 28.4 | 30.1 | 25.6 | 76.4 | 10.2 | 0.8 | 12.7 | ||
| Often | 20.8 | 11.0 | 34.3 | 22.9 | 31.8 | 28.3 | 68.3 | 11.8 | 2.6 | 17.3 | ||
| Sometimes | 25.8 | 10.9 | 35.5 | 22.7 | 30.9 | 25.2 | 73.3 | 9.6 | 0.4 | 16.7 | ||
| Rarely/Never | 37.3 | 12.2 | 24.3 | 26.1 | 37.4 | 20.9 | 61.1 | 9.7 | 0.0 | 29.2 | ||
| Communicates with patient’s other physicians about who will follow the patient for cancer: |
0.2807 | 0.0009 | ||||||||||
| Always/Almost always | 17.0 | 12.5 | 28.9 | 24.7 | 33.8 | 40.1 | 76.4 | 7.3 | 1.1 | 15.2 | ||
| Often | 25.1 | 11.7 | 32.4 | 23.9 | 32.0 | 32.5 | 66.1 | 13.3 | 1.5 | 19.1 | ||
| Sometimes | 26.0 | 11.8 | 34.8 | 19.3 | 34.1 | 17.7 | 65.2 | 13.6 | 0.0 | 21.2 | ||
| Rarely/Never | 31.9 | 8.9 | 26.2 | 30.9 | 34.1 | 9.7 | 67.3 | 6.6 | 1.8 | 24.3 | ||
Data source: Survey of Physician Attitudes Regarding the Care of Cancer Survivors (SPARCCS)
Predominantly provides: “I provide myself” for the majority of breast and colon cancer care roles Predominantly co-manages: “I share responsibility for or co-manage this care” for the majority of breast and colon cancer care roles
Predominantly not directly involved: “Another specialist orders or provides”/ “I am not involved” for the majority of breast and colon cancer care roles
Other: no dominant pattern for the 10 breast and colon cancer care roles or dominant role patterns differ for breast and colon cancer care
Total % represents the column percentage for each belief, preference, and care coordination variable.