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Women with breast cancer were more satisfied with general practitioner care than with outpatient clinic care

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 QUESTION: In women with breast cancer in remission, does the level of satisfaction with health service delivery differ when follow up is done in a primary care setting rather than in a specialist care hospital outpatient setting?


Randomised {allocation concealed*}, unblinded,* controlled trial with 18 month follow up.


2 district general hospitals in the UK


296 women (mean age 61 y) who had breast cancer in remission and were receiving follow up care at 1 of 2 general hospitals. 266 women (90%) and 256 women (86%) completed questionnaires at the middle and end of the trial, respectively.


Women were allocated to follow up care by their own general practitioner (GP) (n=148) or to usual follow up care from 1 of the 2 hospital outpatient clinics (n=148).

Main outcome measures

Patient satisfaction was measured using a questionnaire developed by the UK College of …

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  • Sources of funding: Department of Health for England and Wales; Ballakermean School of the Isle of Man; Imperial Cancer Research Fund.

  • For correspondence: Dr E Grunfeld, Ottawa Regional Cancer Centre, Department of Medicine, University of Ottawa, 501 Smyth Road, Ottawa, Ontario K1H 8L6, Canada. Fax +1 613 725 6308.

  • * See glossary.

  • Information from BMJ 1996;313:665–9.