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Peer-reviewedCC BYBMC primary care

General practitioners' involvement in oncological aftercare (ACTION): a study protocol for a mixed-methods study.

  1. 1Institute for General Practice and Palliative Care, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
  2. 2Institute for General Practice and Palliative Care, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany. [email protected].

Abstract

Background

The growing number of cancer survivors in Germany necessitates sustainable, interdisciplinary aftercare. General practitioners (GPs) are well-positioned to provide long-term, trust-based support, including early detection of recurrences and late effects. However, evidence on the level of GP involvement in oncological aftercare, on interdisciplinary aftercare models involving GPs and specialists, and on associated barriers and facilitators remains limited.Methods

The project "general practitioners' involvement in oncological aftercare" (ACTION; funded by the German Cancer Aid; grant number 70116960) will employ a mixed-methods approach across two phases. In phase 1, experiences with GPs involvement in oncological aftercare will be examined. Therefore, routine data from the AOK Lower Saxony and the Lower Saxony Cancer Registry will be analysed retrospectively (WP1a), supplemented by surveys of GPs (WP1b) and oncologists (WP1c), and qualitative interviews with patients (WP1d). Phase 2 will then build on the results from phase 1 to develop and agree on recommendations for GP involvement in oncological aftercare. An expert workshop will aim to develop structured recommendations for enhanced GP involvement (WP2a), which are refined via a Delphi consensus process (WP2b).Discussion

The ACTION project will generate new insights into the involvement of GPs in oncological aftercare and contribute to adequately addressing future challenges in patient care. It will stimulate the empirically supported development and implementation of interdisciplinary aftercare models in clinical practice and has thus the chance to improve the long-term care of cancer survivors in Germany.Trial registration

The study was registered with the German Clinical Trials Register (Deutsches Register Klinischer Studien; DRKS00040034; date of registration: 11 May 2026).

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BibTeX
@article{baal2026general,
  title = {{General practitioners' involvement in oncological aftercare (ACTION): a study protocol for a mixed-methods study.}},
  author = {Katharina van Baal and Stephanie Stiel and Svenja Arendt and Catharina Münte and Malte Klemmt},
  journal = {BMC primary care},
  year = {2026},
  month = oct,
  doi = {10.1186/s12875-026-03603-z},
  url = {https://europepmc.org/article/MED/42875748},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - General practitioners' involvement in oncological aftercare (ACTION): a study protocol for a mixed-methods study.
AU  - Katharina van Baal
AU  - Stephanie Stiel
AU  - Svenja Arendt
AU  - Catharina Münte
AU  - Malte Klemmt
PY  - 2026
DA  - 2026/10/13
JO  - BMC primary care
DO  - 10.1186/s12875-026-03603-z
UR  - https://europepmc.org/article/MED/42875748
AB  - Background  The growing number of cancer survivors in Germany necessitates sustainable, interdisciplinary aftercare. General practitioners (GPs) are well-positioned to provide long-term, trust-based support, including early detection of recurrences and late effects. However, evidence on the level of GP involvement in oncological aftercare, on interdisciplinary aftercare models involving GPs and specialists, and on associated barriers and facilitators remains limited.Methods  The project "general practitioners' involvement in oncological aftercare" (ACTION; funded by the German Cancer Aid; grant number 70116960) will employ a mixed-methods approach across two phases. In phase 1, experiences with GPs involvement in oncological aftercare will be examined. Therefore, routine data from the AOK Lower Saxony and the Lower Saxony Cancer Registry will be analysed retrospectively (WP1a), supplemented by surveys of GPs (WP1b) and oncologists (WP1c), and qualitative interviews with patients (WP1d). Phase 2 will then build on the results from phase 1 to develop and agree on recommendations for GP involvement in oncological aftercare. An expert workshop will aim to develop structured recommendations for enhanced GP involvement (WP2a), which are refined via a Delphi consensus process (WP2b).Discussion  The ACTION project will generate new insights into the involvement of GPs in oncological aftercare and contribute to adequately addressing future challenges in patient care. It will stimulate the empirically supported development and implementation of interdisciplinary aftercare models in clinical practice and has thus the chance to improve the long-term care of cancer survivors in Germany.Trial registration  The study was registered with the German Clinical Trials Register (Deutsches Register Klinischer Studien; DRKS00040034; date of registration: 11 May 2026).
SN  - 2731-4553
ER  -