Ietje Perfors

61 Nature of the intervention and comparison groups UC and intervention vs UC Patients received a PHR Initiative GP contact: Patient PHR: A4 size plastic wallet content: - Communication sheets for use by patient, family care givers and healthcare professionals. - Medication records and appointment and contact details. - An explicit invite to caregivers to use the PHR. Patients were instructed to: - Use the PHR as an aide memoire and means of communication. - Show it to anyone involved in their care. Intervention vs UC Rehabilitation primary care programme Initiative GP contact: Healthcare worker Rehabilitation primary care programme consisting of: - Patient interview by rehabilitation coordinator (nurses) on physical, psychological, sexual, social, work-related and economy related rehabilitation needs. - RC presents patient individual and general patients with cancer rehabilitation needs to GP. - RC encouraged GP to proactive contact patient to facilitate a rehabilitation process. Intervention vs UC Intensified primary care programme Initiative GP contact: Healthcare worker Individual Support intervention consisting of: - Intensified primary healthcare by means of recruitment of a home care nurse. - Education and supervision in cancer care for both GP and home care nurse. - Active involvement of dietician and psychologist care. 3

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