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Regional cooperation for cancer patients : A questionnaire clarifying the roles of
commu-nity doctor
Hiroaki Toba
$!%!&#, Hiromitsu Takizawa
$!%!&#, Takahiro Yoshida
%#, Masami Morimoto
%#, Mariko Aoyama
%#,
Kyoko Nishiguchi
&#, Chizu Miyakoshi
&#, Hirokazu Takechi
%#, and Akira Tangoku
%#$#Department of General Thoracic Surgery, Tokushima, Japan
%#Department of Esophagus, Breast and Thyroid Surgery, Tokushima, Japan &#Cancer Management Center, Tokushima University Hospital, Tokushima, Japan
SUMMARY
It was suggested long ago that regional cooperation is necessary for cancer patients. Both doctors in base hospitals and community doctors understand the importance of such cooperation. Here we report the results of our widely distributed questionnaire designed to clarify the division of physicians roles and to strengthen the relationships between base hospital and community doctors. The questionnaire asks whether community doctors can accept cancer patients and what types of medical treatment the doctors can provide for patients with esophageal cancer, lung cancer, breast cancer, and thyroid cancer. The doctors in 289 of 550"53%#facilities completed and returned the questionnaire. About half of the community doctors responded that they can accept patients with any of the four cancers and can provide most types of the necessary medical examinations and treatments in their daily practices. Most of the community doctors indicated that they could not provide some anti-cancer drugs and supportive drug therapies for breast cancer patients. The development and implementation of a clinical pathway system could enable the participation of more community doctors and base hospital doctors. Although our findings are preliminary, they will contribute to a foundation for building better regional corporative relationships with community doctors who treat cancer patients.
Key words :A widely distributed questionnaire, Regional corporation, Cancer patient, Community Doctor
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