However there is a great need for caution and careful planning before implementing shared care protocols for ADHD and sharing follow up with primary care.
The melanoma unit GPs and dermatologists identified long-term routine skin surveillance of patients with stage I/II melanoma as their primary responsibility, however they often also shared follow-up with other community-based doctors and two main approaches to shared care were identified.
Appreciation of the critical success factors will support applicability of the shared follow-up model across other cancer groups.
60 As the first trial of shared follow-up care in prostate cancer it was agreed by the investigator team for safety reasons to focus initially on men with low-intermediate risk disease.
However, Norwegian researchers found that both GPs and cancer patients valued the role of the GP in shared follow-up care as long as the specialist is easily accessible [ 24].
Shared follow-up care for women with early breast cancer was demonstrated to be an acceptable model of care with agreement to participate of nearly 80% of patients approached, a much higher participation rate than similar international studies 45-677%).
The SACOSAN meeting aims to underline political commitment to improve sanitation in the region, share follow up actions to achieve results for the Millennium Development Goals while trading experiences on what works best.
Meanwhile, in Asia shares rose slightly overnight while European shares followed up with gains in midsession trading.
Sharing follow-up between melanoma specialists and local doctors is one solution to meeting the care needs of a growing population of melanoma survivors [ 22].
The dermatologist may then subsequently also share follow-up care with the patient's own GP or skin cancer clinic who had originally referred the patient.
During this period, health care providers might play a role in alleviating the distress of patients with different stages of cervical lesions by offering extra counseling on patient concerns, giving lifestyle advice, prompting adherence to treatment, and sharing follow-up plans [8], [23].
