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Pluralistic task shifting for a more timely cancer diagnosis. A grounded theory study from a primary care perspective
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- Thulesius, Hans (författare)
- Linnaeus University,Lund University,Lunds universitet,Linnéuniversitetet,Institutionen för medicin och optometri (MEO),Department of Clinical Sciences Malmö, Family Medicine, Lund University, Lund, Sweden;Research and Development Centre, Region Kronoberg, Växjö, Sweden;Department of Medicine and Optometry, Linnaeus University, Kalmar, Sweden;Department of Design Sciences, Faculty of Engineering, Lund University, Lund, Sweden,Innovationsteknik,Institutionen för designvetenskaper,Institutioner vid LTH,Lunds Tekniska Högskola,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Innovation Engineering,Department of Design Sciences,Departments at LTH,Faculty of Engineering, LTH,Family Medicine and Community Medicine,Lund University Research Groups
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- Sandén, Ulrika (författare)
- Lund University,Lunds universitet,Innovationsteknik,Institutionen för designvetenskaper,Institutioner vid LTH,Lunds Tekniska Högskola,Innovation Engineering,Department of Design Sciences,Departments at LTH,Faculty of Engineering, LTH
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- Petek, Davorina (författare)
- Univ Ljubljana, Slovenia,Department of Family Medicine, Faculty of medicine, University of Ljubljana, Ljubljana, Slovenia
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- Hoffman, Robert (författare)
- Departments of Family Medicine & Medical Education, Sackler Medical School, Tel Aviv University, Tel Aviv, Israel
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- Koskela, Tuomas (författare)
- Univ Tampere, Finland,Department of General Practice, School of Medicine, University of Tampere, Tampere, Finland
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- Oliva-Fanlo, Bernardino (författare)
- Dept Primary Hlth Care, Spain,Department of Primary Health Care, Palma, Spain
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- Neves, Ana Luisa (författare)
- Imperial Coll London, UK;Univ Porto, Portugal,Patient Safety Translational Research Centre, Institute of Global Health Innovation, Imperial College London, London, UK;Department of Community Medicine, Health Information and Decision, Faculty of Medicine, University of Porto, Porto, Portugal
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- Hajdarevic, Senada (författare)
- Umeå universitet,Institutionen för omvårdnad,Umeå University, Sweden
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- Harrysson, Lars (författare)
- Lund University,Lunds universitet,Innovationsteknik,Institutionen för designvetenskaper,Institutioner vid LTH,Lunds Tekniska Högskola,Socialhögskolan,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Innovation Engineering,Department of Design Sciences,Departments at LTH,Faculty of Engineering, LTH,School of Social Work,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences
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- Toftegaard, Berit Skjodeborg (författare)
- Horsens Hosp, Denmark,Department of Emergency Medicine, Horsens Hospital, Horsens, Denmark,Horsens Sygehus
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- Vedsted, Peter (författare)
- Department of Clinical Medicine, Research Unit for General Practice, The Research Centre for Cancer Diagnosis in Primary Care, Aarhus University, Aarhus, Denmark,Aarhus University Hospital
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- Harris, Michael (författare)
- Univ Exeter, UK;Univ Bern, Switzerland,College of Medicine & Health, University of Exeter, Exeter, UK;Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
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(creator_code:org_t)
- 2021-12-10
- Engelska.
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Ingår i: Scandinavian Journal of Primary Health Care. - : Taylor & Francis Group. - 0281-3432 .- 1502-7724. ; 39:4, s. 486-497
- Relaterad länk:
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https://doi.org/10.1...
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https://www.tandfonl...
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https://umu.diva-por... (primary) (Raw object)
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http://dx.doi.org/10... (free)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://lup.lub.lu.s...
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Abstract
Ämnesord
Stäng
- Objective To explore how cancer could be diagnosed in a more timely way. Design Grounded theory analysis of primary care physicians' free text survey responses to: 'How do you think the speed of diagnosis of cancer in primary care could be improved?'. Secondary analysis of primary care physician interviews, survey responses, literature. Setting Primary care in 20 European orenas Research Group countries. Subjects Primary care physicians: 1352 survey respondents (2013-2016), 20 Spanish and 7 Swedish interviewees (2015-2019). Main outcome measures Conceptual explanation of how to improve timeliness of cancer diagnosis. Results Pluralistic task shifting is a grounded theory of a composite strategy. It includes task sharing - among nurses, physicians, nurse assistants, secretaries, and patients - and changing tasks with cancer screening when appropriate or cancer fast-tracks to accelerate cancer case finding. A pluralistic dialogue culture of comprehensive collaboration and task redistribution is required for effective pluralistic task shifting. Pluralistic task shifting relies on cognitive task shifting, which includes learning more about slow analytic reasoning and fast automatic thinking initiated by pattern recognition; and digital task shifting, which by use of eHealth and telemedicine bridges time and place and improves power symmetry between patients, caregivers, and clinicians. Financial task shifting that involves cost tracking followed by reallocation of funds is necessary for the restructuring and retraining required for successful pluralistic task shifting. A timely diagnosis reduces expensive investigations and waiting times. Also, late-stage cancers are costlier to treat than early-stage cancers. Timing is central to cancer diagnosis: not too early to avoid overdiagnosis, and never too late. Conclusions We present pluralistic task shifting as a conceptual summary of strategies needed to optimise the timeliness of cancer diagnosis.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- Cancer diagnosis
- primary care
- qualitative data
- grounded theory
- Medicin
- Medicine
- Cancer diagnos
- primärvård
- kvalitativ data
- grundad teori
- cancer diagnosis
- primary care
- qualitative data
- grounded theory
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
- Av författaren/redakt...
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Thulesius, Hans
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Sandén, Ulrika
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Petek, Davorina
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Hoffman, Robert
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Koskela, Tuomas
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Oliva-Fanlo, Ber ...
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visa fler...
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Neves, Ana Luisa
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Hajdarevic, Sena ...
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Harrysson, Lars
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Toftegaard, Beri ...
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Vedsted, Peter
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Harris, Michael
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Cancer och onkol ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Hälso och sjukvå ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Omvårdnad
- Artiklar i publikationen
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Scandinavian Jou ...
- Av lärosätet
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Linnéuniversitetet
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Umeå universitet
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Lunds universitet