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The expanding role of primary care in cancer control

Rubin, Greg; Berendsen, Annette; Crawford, S. Michael; Dommett, Rachel; Earle, Craig; Emery, Jon; Fahey, Tom; Grassi, Luigi; Grunfeld, Eva; Gupta, Sumit; Hamilton, Willie; Hiom, Sara; Hunter, David; Lyratzopoulos, Georgios; Macleod, Una; Mason, Robert; Mitchell, Geoffrey; Neal, Richard D.; Peake, Michael; Roland, Martin; Seifert, Bohumil; Sisler, Jeff; Sussman, Jonathan; Taplin, Stephen; Vedsted, Peter; Voruganti, Teja; Walter, Fiona; Wardle, Jane; Watson, Eila; Weller, David; Wender, Richard; Whelan, Jeremy; Whitlock, James; Wilkinson, Clare; de Wit, Niek; Zimmermann, Camilla


Greg Rubin

Annette Berendsen

S. Michael Crawford

Rachel Dommett

Craig Earle

Jon Emery

Tom Fahey

Luigi Grassi

Eva Grunfeld

Sumit Gupta

Willie Hamilton

Sara Hiom

David Hunter

Georgios Lyratzopoulos

Robert Mason

Geoffrey Mitchell

Richard D. Neal

Michael Peake

Martin Roland

Bohumil Seifert

Jeff Sisler

Jonathan Sussman

Stephen Taplin

Peter Vedsted

Teja Voruganti

Fiona Walter

Jane Wardle

Eila Watson

David Weller

Richard Wender

Jeremy Whelan

James Whitlock

Clare Wilkinson

Niek de Wit

Camilla Zimmermann


© 2015 Elsevier Ltd. The nature of cancer control is changing, with an increasing emphasis, fuelled by public and political demand, on prevention, early diagnosis, and patient experience during and after treatment. At the same time, primary care is increasingly promoted, by governments and health funders worldwide, as the preferred setting for most health care for reasons of increasing need, to stabilise health-care costs, and to accommodate patient preference for care close to home. It is timely, then, to consider how this expanding role for primary care can work for cancer control, which has long been dominated by highly technical interventions centred on treatment, and in which the contribution of primary care has been largely perceived as marginal. In this Commission, expert opinion from primary care and public health professionals with academic and clinical cancer expertise-from epidemiologists, psychologists, policy makers, and cancer specialists-has contributed to a detailed consideration of the evidence for cancer control provided in primary care and community care settings. Ranging from primary prevention to end-of-life care, the scope for new models of care is explored, and the actions needed to effect change are outlined. The strengths of primary care-its continuous, coordinated, and comprehensive care for individuals and families-are particularly evident in prevention and diagnosis, in shared follow-up and survivorship care, and in end-of-life care. A strong theme of integration of care runs throughout, and its elements (clinical, vertical, and functional) and the tools needed for integrated working are described in detail. All of this change, as it evolves, will need to be underpinned by new research and by continuing and shared multiprofessional development.


Rubin, G., Berendsen, A., Crawford, S. M., Dommett, R., Earle, C., Emery, J., …Zimmermann, C. (2015). The expanding role of primary care in cancer control. The lancet oncology, 16(12), 1231-1272.

Acceptance Date Sep 25, 2015
Online Publication Date Sep 29, 2015
Publication Date Sep 1, 2015
Deposit Date Dec 17, 2015
Publicly Available Date Nov 23, 2017
Journal Lancet oncology
Print ISSN 1470-2045
Electronic ISSN 1474-5488
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 16
Issue 12
Pages 1231-1272
Keywords Cancer control, Primary health care
Public URL
Publisher URL
Additional Information Author's accepted manuscript of article published in: Lancet oncology, 2015, v.16, issue 12


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© 2015, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International

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