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How European primar...
How European primary care practitioners think the timeliness of cancer diagnosis can be improved : a thematic analysis
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- Harris, Michael (author)
- Univ Bath, UK;Univ Bern, Switzerland,University of Bath,University of Bern
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- Thulesius, Hans (author)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups,Lund University, Sweden;Region Kronoberg, Sweden
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- Neves, Ana Luisa (author)
- Imperial Coll London, UK;Univ Porto, Portugal,Imperial College London,University of Porto
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- Harker, Sophie (author)
- Univ Bath, UK,University of Bath
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- Koskela, Tuomas (author)
- Tampere Univ, Finland,University of Tampere
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- Petek, Davorina (author)
- Univ Ljubljana, Slovenia,University of Ljubljana
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- Hoffman, Robert (author)
- Tel Aviv Univ, Israel,Tel-Aviv University
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- Brekke, Mette (author)
- Univ Oslo, Norway,University of Oslo
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- Buczkowski, Krzysztof (author)
- Nicolaus Copernicus Univ, Poland,Nicolaus Copernicus University
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- Buono, Nicola (author)
- Natl Soc Med Educ Gen Practice SNaMID, Italy,National Italian Society of Medical Education In General Practice
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- Costiug, Emiliana (author)
- Iuliu Hatieganu Univ Med & Pharm, Romania,University of Medicine and Pharmacy, Cluj-Napoca
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- Dinant, Geert-Jan (author)
- Maastricht Univ, Netherlands,Maastricht University
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- Foreva, Gergana (author)
- Med Ctr BROD, Bulgaria,Medical Center BROD, Benkovski
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- Jakob, Eva (author)
- Ctr Saude Sarria, Spain,Centro de Saúde de Sarria
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- Marzo-Castillejo, Merce (author)
- Inst Catala Salut, Spain,Institut Universitari d’Investigació en Atenció Primària Jordi Gol
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- Murchie, Peter (author)
- Univ Aberdeen, UK,University of Aberdeen
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- Sawicka-Powierza, Jolanta (author)
- Med Univ Bialystok, Poland,Medical University of Bialystok
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- Schneider, Antonius (author)
- Tech Univ Munich, Germany,Technical University of Munich
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- Smyrnakis, Emmanouil (author)
- Aristotle Univ Thessaloniki, Greece,Aristotle University of Thessaloniki
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- Streit, Sven (author)
- Univ Bern, Switzerland,University of Bern
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- Taylor, Gordon (author)
- Univ Exeter, UK,University of Exeter
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- Vedsted, Peter (author)
- Aarhus Univ, Denmark,Aarhus University
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- Weltermann, Birgitta (author)
- Univ Bonn, Germany,University of Bonn
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- Esteva, Magdalena (author)
- Carlos III Inst Hlth RedIAPP RETICS, Spain,Health Research Institute of the Balearic Islands (IdISBa)
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(creator_code:org_t)
- 2019-09-24
- 2019
- English.
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In: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 9:9, s. 1-10
- Related links:
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https://doi.org/10.1...
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https://bmjopen.bmj....
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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://lup.lub.lu.s...
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Abstract
Subject headings
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- Background National European cancer survival rates vary widely. Prolonged diagnostic intervals are thought to be a key factor in explaining these variations. Primary care practitioners (PCPs) frequently play a crucial role during initial cancer diagnosis; their knowledge could be used to improve the planning of more effective approaches to earlier cancer diagnosis. Objectives This study sought the views of PCPs from across Europe on how they thought the timeliness of cancer diagnosis could be improved. Design In an online survey, a final open-ended question asked PCPs how they thought the speed of diagnosis of cancer in primary care could be improved. Thematic analysis was used to analyse the data. Setting A primary care study, with participating centres in 20 European countries. Participants A total of 1352 PCPs answered the final survey question, with a median of 48 per country. Results The main themes identified were: patient-related factors, including health education; care provider-related factors, including continuing medical education; improving communication and interprofessional partnership, particularly between primary and secondary care; factors relating to health system organisation and policies, including improving access to healthcare; easier primary care access to diagnostic tests; and use of information technology. Re-allocation of funding to support timely diagnosis was seen as an issue affecting all of these. Conclusions To achieve more timely cancer diagnosis, health systems need to facilitate earlier patient presentation through education and better access to care, have well-educated clinicians with good access to investigations and better information technology, and adequate primary care cancer diagnostic pathway funding.
Subject headings
- 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)
Keyword
- Delivery of Health Care
- Primary Health Care
- General Practitioners
- Cancer
- Diagnosis
- Consultation and Referral
- Medicin
- Medicine
- Cancer
- Consultation and Referral
- Delivery of Health Care
- Diagnosis
- General Practitioners
- Primary Health Care
Publication and Content Type
- ref (subject category)
- art (subject category)
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BMJ Open
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- By the author/editor
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Harris, Michael
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Thulesius, Hans
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Neves, Ana Luisa
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Harker, Sophie
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Koskela, Tuomas
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Petek, Davorina
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Hoffman, Robert
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Brekke, Mette
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Buczkowski, Krzy ...
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Buono, Nicola
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Costiug, Emilian ...
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Dinant, Geert-Ja ...
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Foreva, Gergana
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Jakob, Eva
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Marzo-Castillejo ...
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Murchie, Peter
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Sawicka-Powierza ...
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Schneider, Anton ...
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Smyrnakis, Emman ...
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Streit, Sven
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Taylor, Gordon
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Vedsted, Peter
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Weltermann, Birg ...
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Esteva, Magdalen ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
- Articles in the publication
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BMJ Open
- By the university
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Linnaeus University
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Lund University