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Family Practice Advance Access originally published online on June 17, 2009
Family Practice 2009 26(4):317-324; doi:10.1093/fampra/cmp035
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© The Author 2009. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

GP-led melanoma follow-up: the practical experience of GPs

Peter Murchie, Elizabeth K Delaney, Neil C Campbell and Philip C Hannaford

Centre of Academic Primary Care, University of Aberdeen, Foresterhill Health Centre, Westburn Road, Aberdeen AB25 2AY, UK

Correspondence to Peter Murchie, Centre of Academic Primary Care, University of Aberdeen, Foresterhill Health Centre, Westburn Road, Aberdeen AB25 2AY, UK; E-mail: p.murchie{at}abdn.ac.uk

Received 8 April 2009; Accepted 18 May 2009.


  Abstract

Objectives. To explore how GP-led melanoma follow-up had actually worked from the perspective of GPs by exploring in detail the practical experience of GPs running the programme.

Design. Semi-structured audio-taped telephone interviews with GPs delivering a GP-led follow-up programme for people with cutaneous malignant melanoma.

Subjects. Seventeen GPs currently delivering structured GP-led routine follow-up for people with cutaneous melanoma.

Results. GP-led melanoma follow-up worked well from the perspectives of GPs. The GPs felt that they were well equipped and supported in undertaking the follow-up consultations and recognized that they were freeing up hospital consultant time. They felt that patients appreciated the convenience of GP-led follow-up. The GPs felt that a robust recall system, initial training with regular refreshers and effective consultant backup were vital components of a successful long-term programme.

Conclusions. GP-led melanoma follow-up is feasible and, provided certain concerns can be addressed, GPs are willing to provide it.

Keywords. Aftercare, cancer, malignant melanoma, primary care.

Murchie P, Delaney EK, Campbell NC and Hannaford PC. GP-led melanoma follow-up: the practical experience of GPs. Family Practice 2009; 26: 317–324.


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