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  • Hajdarevic, SenadaUmeå universitet,Institutionen för omvårdnad,Allmänmedicin (författare)

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

  • Artikel/kapitelEngelska2023

Förlag, utgivningsår, omfång ...

  • Royal College of General Practitioners,2023
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:umu-214654
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-214654URI
  • https://doi.org/10.3399/bjgpo.2023.0029DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

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

Anmärkningar

  • 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 och genrebeteckningar

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

  • Högberg, CeciliaUmeå universitet,Institutionen för folkhälsa och klinisk medicin(Swepub:umu)ceha0008 (författare)
  • Marzo-Castillejo, MercèResearch Support Unit Metropolitana Sud, University Institute for Primary Health Care Research IDIAPJordi Gol, Catalan Health Institute, Barcelona, Spain (författare)
  • Siliņa, VijaDepartment of Family Medicine, Riga Stradiņš University, Riga, Latvia (författare)
  • Sawicka-Powierza, JolantaDepartment of Family Medicine, Medical University of Białystok, Białystok, Poland (författare)
  • Esteva, MagadalenaMajorca Primary Care Department, Spain; Balearic Islands Health Research Institute (IdISBa), Balearic Islands, Spain (författare)
  • Koskela, TuomasFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland; Center of General Practice,Tampere University Hospital, Tampere, Finland (författare)
  • Petek, DavorinaDepartment of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia (författare)
  • Contreras-Martos, SaraResearch Support Unit Metropolitana Sud, University Institute for Primary Health Care Research IDIAPJordi Gol, Catalan Health Institute, Barcelona, Spain (författare)
  • Mangione, MarcelloLocal Health Authority Committee, Palermo City, Italy (författare)
  • Ožvačić Adžić, ZlataDepartment of Family Medicine, University of Zagreb, School of Medicine, Zagreb, Croatia; Health Center Zagreb-Centar, Zagreb, Croatia (författare)
  • Asenova, RadostDepartment Urology and General Practice, Medical University of Plovdiv, Plovdiv, Bulgaria (författare)
  • Gašparović Babić, SvjetlanaCroatian Health Insurance Fund, Rijeka, Croatia (författare)
  • Brekke, MetteDepartment of Health and Society, General Practice Research Unit, University of Oslo, Oslo, Norway (författare)
  • Buczkowski, KrzysztofDepartment of Health and Society, General Practice Research Unit, University of Oslo, Oslo, Norway (författare)
  • Buono, NicolaDepartment of Health and Society, General Practice Research Unit, University of Oslo, Oslo, Norway (författare)
  • Çifçili, Saliha SerapFamily Medicine Department, Marmara University Medical School, Istanbul, Turkey (författare)
  • Dinant, Geert-JanDepartment of General Practice, Maastricht University, Maastricht, The Netherlands (författare)
  • Doorn, BabetteDepartment of General Practice, Maastricht University, Maastricht, The Netherlands (författare)
  • Hoffman, Robert D.Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Department of Family Medicine, Maccabi Healthcare Services, Southern District, Israel (författare)
  • Kuodza, GeorgeDepartment of Family Medicine and Outpatient Care, Medical Faculty #2, Uzhhorod National University, Uzhgorod, Ukraine (författare)
  • Murchie, PeterCentre of Academic Primary Care, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK (författare)
  • Pilv, LiinaInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia (författare)
  • Puia, AidaDepartment of Family Medicine, University of Medicine and Pharmacy, Cluj-Napoca, Romania (författare)
  • Rapalavicius, AurimasFamily Medicine Department, Lithuanian University of Health Sciences, Kaunas, Lithuania (författare)
  • Smyrnakis, EmmanouilLaboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece (författare)
  • Weltermann, BirgittaLaboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece (författare)
  • Harris, MichaelInstitute of Primary Health Care Bern (BIHAM), University of Bern, Bern, Switzerland; College of Medicine & Health, University of Exeter, Exeter, UK (författare)
  • Umeå universitetInstitutionen för omvårdnad (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:BJGP Open: Royal College of General Practitioners7:42398-3795

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