Transitioning to routine breast cancer risk assessment and management in primary care: what can we learn from cardiovascular disease?

• DOI: 10.1071/py14156
• Publication Date: 2015-02-23T19:28:09Z
• Authors: Kelly-Anne Phillips; Emma J. Steel; Ian Collins; Jon Emery; Marie Pirotta; G. Bruce Mann; Phyllis Butow; John L. Hopper; Alison Trainer; Jane Moreton; Antonis C. Antoniou; Jack Cuzick; Louise Keogh
• Keywords: Risk management tools; Disease management

To capitalise on advances in breast cancer prevention, all women would need to have their risk formally assessed. With ~85% of Australians attending primary care clinics at least once a year, is an opportune location for formal assessment and management. This study assessed the current practice needs clinicians regarding management risk. Two facilitated focus group discussions were held with 17 (12 GPs 5 nurses (PNs)) as part larger assessment. Primary viewed cardiovascular intrinsic, expected role, often triggered by software prompts use online tool. Conversely, was not routine generally patient- (not clinician-) initiated, (apart from screening) considered outside domain. Clinicians suggested that might be achieved if it widely endorsed within remit supported risk-assessment decision aid tool integrated into software. identified several key issues addressed facilitate transition care, based largely model used disease.