Analysis of radiation oncology integration within general practitioners' daily patient care: a cross-sectional survey in Germany

Abstract

Purpose: General practitioners (GPs) play a crucial role in providing interdisciplinary care for radiation oncology patients. This study aims to understand the specific needs and challenges faced by general practitioners in Germany when treating oncology patients.

Methods: A comprehensive web-based questionnaire with 24 items was disseminated to GPs in Germany via email using survio.com. The survey collected data on demographics, qualifications, clinical experiences, decision-making involvement, and symptom recognition. It specifically examined post-radiotherapy care and the use of specialized palliative homecare networks (SAPV). Statistical analyses were descriptive. The survey was open from July 4 to August 9, 2023.

Results: A notable majority of general practitioners displayed confidence in their understanding of cancer-related symptoms, with over half (54.6%) rating their knowledge with 4 out of 5. This level of self-assessed expertise extended to their capacity to address the needs of cancer patients (53.8%), although 67% express a need for further education in specifically radiotherapeutic side effects. Satisfaction with SAPV networks was high, and 72.3% of respondents were actively involved in palliative care, compared to only 45.6% in managing radiation therapy. Notable challenges included inadequate communication with specialists, insufficient staffing, and under-recognition of GPs' roles in oncology care.

Conclusion: The study highlights a paradox where GPs show high engagement in palliative care but limited involvement in radiation therapy management due to communication gaps and professional development needs. Addressing these disparities through targeted initiatives and fostering a collaborative care model is essential to amplify the important role of GPs, ensuring more integrated and effective patient care.

Keywords: Cancer patient management; Healthcare survey; Interdisciplinary collaboration; Primary care integration; Radiotherapy access.

Fig. 1

Flowchart

Fig. 2

Participants’ knowledge about the symptoms (a) and needs (b) of cancer patients

Fig. 3

Participants disagreeing/agreeing with statements about their involvement in palliative care

Fig. 4

General practitioners’ self-assessment of follow-up care of patients receiving radiation therapy (RT). a Degree of involvement, b degree of feeling confident in managing RT patients