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Sökning: onr:"swepub:oai:DiVA.org:umu-214654" > Exploring why Europ...

Exploring why European primary care physicians sometimes do not think of, or act on, a possible cancer diagnosis : a qualitative study

Hajdarevic, Senada (författare)
Umeå universitet,Institutionen för omvårdnad,Allmänmedicin
Högberg, Cecilia (författare)
Umeå universitet,Institutionen för folkhälsa och klinisk medicin
Marzo-Castillejo, Mercè (författare)
Research Support Unit Metropolitana Sud, University Institute for Primary Health Care Research IDIAPJordi Gol, Catalan Health Institute, Barcelona, Spain
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Siliņa, Vija (författare)
Department of Family Medicine, Riga Stradiņš University, Riga, Latvia
Sawicka-Powierza, Jolanta (författare)
Department of Family Medicine, Medical University of Białystok, Białystok, Poland
Esteva, Magadalena (författare)
Majorca Primary Care Department, Spain; Balearic Islands Health Research Institute (IdISBa), Balearic Islands, Spain
Koskela, Tuomas (författare)
Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland; Center of General Practice,Tampere University Hospital, Tampere, Finland
Petek, Davorina (författare)
Department of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
Contreras-Martos, Sara (författare)
Research Support Unit Metropolitana Sud, University Institute for Primary Health Care Research IDIAPJordi Gol, Catalan Health Institute, Barcelona, Spain
Mangione, Marcello (författare)
Local Health Authority Committee, Palermo City, Italy
Ožvačić Adžić, Zlata (författare)
Department of Family Medicine, University of Zagreb, School of Medicine, Zagreb, Croatia; Health Center Zagreb-Centar, Zagreb, Croatia
Asenova, Radost (författare)
Department Urology and General Practice, Medical University of Plovdiv, Plovdiv, Bulgaria
Gašparović Babić, Svjetlana (författare)
Croatian Health Insurance Fund, Rijeka, Croatia
Brekke, Mette (författare)
Department of Health and Society, General Practice Research Unit, University of Oslo, Oslo, Norway
Buczkowski, Krzysztof (författare)
Department of Health and Society, General Practice Research Unit, University of Oslo, Oslo, Norway
Buono, Nicola (författare)
Department of Health and Society, General Practice Research Unit, University of Oslo, Oslo, Norway
Çifçili, Saliha Serap (författare)
Family Medicine Department, Marmara University Medical School, Istanbul, Turkey
Dinant, Geert-Jan (författare)
Department of General Practice, Maastricht University, Maastricht, The Netherlands
Doorn, Babette (författare)
Department of General Practice, Maastricht University, Maastricht, The Netherlands
Hoffman, Robert D. (författare)
Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Department of Family Medicine, Maccabi Healthcare Services, Southern District, Israel
Kuodza, George (författare)
Department of Family Medicine and Outpatient Care, Medical Faculty #2, Uzhhorod National University, Uzhgorod, Ukraine
Murchie, Peter (författare)
Centre of Academic Primary Care, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
Pilv, Liina (författare)
Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia
Puia, Aida (författare)
Department of Family Medicine, University of Medicine and Pharmacy, Cluj-Napoca, Romania
Rapalavicius, Aurimas (författare)
Family Medicine Department, Lithuanian University of Health Sciences, Kaunas, Lithuania
Smyrnakis, Emmanouil (författare)
Laboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece
Weltermann, Birgitta (författare)
Laboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece
Harris, Michael (författare)
Institute of Primary Health Care Bern (BIHAM), University of Bern, Bern, Switzerland; College of Medicine & Health, University of Exeter, Exeter, UK
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 (creator_code:org_t)
Royal College of General Practitioners, 2023
2023
Engelska.
Ingår i: BJGP Open. - : Royal College of General Practitioners. - 2398-3795. ; 7:4
Relaterad länk:
https://doi.org/10.3...
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https://umu.diva-por... (primary) (Raw object)
https://urn.kb.se/re...
https://doi.org/10.3...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background: While primary care physicians (PCPs) play a key role in cancer detection, they can find cancer diagnosis challenging, and some patients have considerable delays between presentation and onward referral.Aim: To explore European PCPs’ experiences and views on cases where they considered that they had been slow to think of, or act on, a possible cancer diagnosis.Design & setting: A multicentre European qualitative study, based on an online survey with open-ended questions, asking PCPs for their narratives about cases when they had missed a diagnosis of cancer.Method: Using maximum variation sampling, PCPs in 23 European countries were asked to describe what happened in a case where they were slow to think of a cancer diagnosis, and for their views on why it happened. Thematic analysis was used to analyse the data.Results: A total of 158 PCPs completed the questionnaire. The main themes were as follows: patients’ descriptions did not suggest cancer; distracting factors reduced PCPs’ cancer suspicions; patients’ hesitancy delayed the diagnosis; system factors not facilitating timely diagnosis; PCPs felt that they had acted wrongly; and problems with communicating adequately.Conclusion: The study identified six overarching themes that need to be addressed. Doing so should reduce morbidity and mortality in the small proportion of patients who have a significant, avoidable delay in their cancer diagnosis. The ‘Swiss cheese’ model of accident causation showed how the themes related to each other.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

Nyckelord

Primary health care
physicians
primary care
cancer
Europe
diagnostic errors
qualitative research

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ref (ämneskategori)
art (ämneskategori)

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