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Exploring why Europ...
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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 ...
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Royal College of General Practitioners,2023
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:umu-214654
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-214654URI
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https://doi.org/10.3399/bjgpo.2023.0029DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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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.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Högberg, CeciliaUmeå universitet,Institutionen för folkhälsa och klinisk medicin(Swepub:umu)ceha0008
(författare)
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Marzo-Castillejo, MercèResearch Support Unit Metropolitana Sud, University Institute for Primary Health Care Research IDIAPJordi Gol, Catalan Health Institute, Barcelona, Spain
(författare)
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Siliņa, VijaDepartment of Family Medicine, Riga Stradiņš University, Riga, Latvia
(författare)
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Sawicka-Powierza, JolantaDepartment of Family Medicine, Medical University of Białystok, Białystok, Poland
(författare)
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Esteva, MagadalenaMajorca Primary Care Department, Spain; Balearic Islands Health Research Institute (IdISBa), Balearic Islands, Spain
(författare)
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Koskela, TuomasFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland; Center of General Practice,Tampere University Hospital, Tampere, Finland
(författare)
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Petek, DavorinaDepartment of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
(författare)
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Contreras-Martos, SaraResearch Support Unit Metropolitana Sud, University Institute for Primary Health Care Research IDIAPJordi Gol, Catalan Health Institute, Barcelona, Spain
(författare)
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Mangione, MarcelloLocal Health Authority Committee, Palermo City, Italy
(författare)
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Ožvačić Adžić, ZlataDepartment of Family Medicine, University of Zagreb, School of Medicine, Zagreb, Croatia; Health Center Zagreb-Centar, Zagreb, Croatia
(författare)
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Asenova, RadostDepartment Urology and General Practice, Medical University of Plovdiv, Plovdiv, Bulgaria
(författare)
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Gašparović Babić, SvjetlanaCroatian Health Insurance Fund, Rijeka, Croatia
(författare)
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Brekke, MetteDepartment of Health and Society, General Practice Research Unit, University of Oslo, Oslo, Norway
(författare)
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Buczkowski, KrzysztofDepartment of Health and Society, General Practice Research Unit, University of Oslo, Oslo, Norway
(författare)
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Buono, NicolaDepartment of Health and Society, General Practice Research Unit, University of Oslo, Oslo, Norway
(författare)
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Çifçili, Saliha SerapFamily Medicine Department, Marmara University Medical School, Istanbul, Turkey
(författare)
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Dinant, Geert-JanDepartment of General Practice, Maastricht University, Maastricht, The Netherlands
(författare)
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Doorn, BabetteDepartment of General Practice, Maastricht University, Maastricht, The Netherlands
(författare)
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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)
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Kuodza, GeorgeDepartment of Family Medicine and Outpatient Care, Medical Faculty #2, Uzhhorod National University, Uzhgorod, Ukraine
(författare)
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Murchie, PeterCentre of Academic Primary Care, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
(författare)
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Pilv, LiinaInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia
(författare)
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Puia, AidaDepartment of Family Medicine, University of Medicine and Pharmacy, Cluj-Napoca, Romania
(författare)
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Rapalavicius, AurimasFamily Medicine Department, Lithuanian University of Health Sciences, Kaunas, Lithuania
(författare)
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Smyrnakis, EmmanouilLaboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece
(författare)
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Weltermann, BirgittaLaboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece
(författare)
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Harris, MichaelInstitute of Primary Health Care Bern (BIHAM), University of Bern, Bern, Switzerland; College of Medicine & Health, University of Exeter, Exeter, UK
(författare)
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Umeå universitetInstitutionen för omvårdnad
(creator_code:org_t)
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Ingår i:BJGP Open: Royal College of General Practitioners7:42398-3795
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Hajdarevic, Sena ...
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Högberg, Cecilia
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Marzo-Castillejo ...
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Siliņa, Vija
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Sawicka-Powierza ...
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Esteva, Magadale ...
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visa fler...
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Koskela, Tuomas
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Petek, Davorina
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Contreras-Martos ...
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Mangione, Marcel ...
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Ožvačić Adžić, Z ...
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Asenova, Radost
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Gašparović Babić ...
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Brekke, Mette
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Buczkowski, Krzy ...
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Buono, Nicola
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Çifçili, Saliha ...
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Dinant, Geert-Ja ...
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Doorn, Babette
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Hoffman, Robert ...
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Kuodza, George
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Murchie, Peter
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Pilv, Liina
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Puia, Aida
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Rapalavicius, Au ...
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Smyrnakis, Emman ...
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Weltermann, Birg ...
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Harris, Michael
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