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Sökning: onr:"swepub:oai:DiVA.org:lnu-90930" > How European primar...

  • Harris, MichaelUniv Bath, UK;Univ Bern, Switzerland,University of Bath,University of Bern (författare)

How European primary care practitioners think the timeliness of cancer diagnosis can be improved : a thematic analysis

  • Artikel/kapitelEngelska2019

Förlag, utgivningsår, omfång ...

  • 2019-09-24
  • BMJ Publishing Group Ltd,2019
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:lnu-90930
  • https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-90930URI
  • https://doi.org/10.1136/bmjopen-2019-030169DOI
  • https://lup.lub.lu.se/record/e0b540da-993e-4ff9-8e82-5e07159b6d0bURI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • 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.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Thulesius, HansLund 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(Swepub:lu)smi-hth (författare)
  • Neves, Ana LuisaImperial Coll London, UK;Univ Porto, Portugal,Imperial College London,University of Porto (författare)
  • Harker, SophieUniv Bath, UK,University of Bath (författare)
  • Koskela, TuomasTampere Univ, Finland,University of Tampere (författare)
  • Petek, DavorinaUniv Ljubljana, Slovenia,University of Ljubljana (författare)
  • Hoffman, RobertTel Aviv Univ, Israel,Tel-Aviv University (författare)
  • Brekke, MetteUniv Oslo, Norway,University of Oslo (författare)
  • Buczkowski, KrzysztofNicolaus Copernicus Univ, Poland,Nicolaus Copernicus University (författare)
  • Buono, NicolaNatl Soc Med Educ Gen Practice SNaMID, Italy,National Italian Society of Medical Education In General Practice (författare)
  • Costiug, EmilianaIuliu Hatieganu Univ Med & Pharm, Romania,University of Medicine and Pharmacy, Cluj-Napoca (författare)
  • Dinant, Geert-JanMaastricht Univ, Netherlands,Maastricht University (författare)
  • Foreva, GerganaMed Ctr BROD, Bulgaria,Medical Center BROD, Benkovski (författare)
  • Jakob, EvaCtr Saude Sarria, Spain,Centro de Saúde de Sarria (författare)
  • Marzo-Castillejo, MerceInst Catala Salut, Spain,Institut Universitari d’Investigació en Atenció Primària Jordi Gol (författare)
  • Murchie, PeterUniv Aberdeen, UK,University of Aberdeen (författare)
  • Sawicka-Powierza, JolantaMed Univ Bialystok, Poland,Medical University of Bialystok (författare)
  • Schneider, AntoniusTech Univ Munich, Germany,Technical University of Munich (författare)
  • Smyrnakis, EmmanouilAristotle Univ Thessaloniki, Greece,Aristotle University of Thessaloniki (författare)
  • Streit, SvenUniv Bern, Switzerland,University of Bern (författare)
  • Taylor, GordonUniv Exeter, UK,University of Exeter (författare)
  • Vedsted, PeterAarhus Univ, Denmark,Aarhus University (författare)
  • Weltermann, BirgittaUniv Bonn, Germany,University of Bonn (författare)
  • Esteva, MagdalenaCarlos III Inst Hlth RedIAPP RETICS, Spain,Health Research Institute of the Balearic Islands (IdISBa) (författare)
  • Univ Bath, UK;Univ Bern, SwitzerlandUniversity of Bath (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:BMJ Open: BMJ Publishing Group Ltd9:9, s. 1-102044-6055

Internetlänk

Hitta via bibliotek

  • BMJ Open (Sök värdpublikationen i LIBRIS)

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