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What would primary care practitioners do differently after a delayed cancer diagnosis? : Learning lessons from their experiences

Koskela, Tuomas H. (författare)
Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland;Center of General Practice, Tampere University Hospital, Tampere, Finland
Esteva, Magdalena (författare)
Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain
Mangione, Marcello (författare)
Local Health Authority Committee, Palermo City, Italy
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Contreras Martos, Sara (författare)
Research Support Unit Metropolitana Sud, University Institute for Primary Health Care Research IDIAPJordi Gol, Catalan Health Institute, Barcelona, Spain
Hajdarevic, Senada (författare)
Umeå universitet,Institutionen för omvårdnad,Allmänmedicin
Högberg, Cecilia (författare)
Department of Public Health and Clinical Medicine, Unit of Research, Education and Development Östersund, Umeå University, Umeå, Sweden
Marzo-Castillejo, Mercè (författare)
Research Support Unit Metropolitana Sud, University Institute for Primary Health Care Research IDIAPJordi Gol, Catalan Health Institute, Barcelona, Spain
Sawicka-Powierza, Jolanta (författare)
Department of Family Medicine, Medical University of Białystok, Białystok, Poland
Siliņa, Vija (författare)
Department of Family Medicine, Riga Stradiņš University, Riga, Latvia
Harris, Michael (författare)
Institute of Primary Health Care Bern (BIHAM), University of Bern, Bern, Switzerland;College of Medicine & Health, University of Exeter, Exeter, UK
Petek, Davorina (författare)
Department of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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 (creator_code:org_t)
2023
2023
Engelska.
Ingår i: Scandinavian Journal of Primary Health Care. - 0281-3432 .- 1502-7724. ; 42:1, s. 123-131
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Objective: Diagnosis of cancer is challenging in primary care due to the low incidence of cancer cases in primary care practice. A prolonged diagnostic interval may be due to doctor, patient or system factors, or may be due to the characteristics of the cancer itself. The objective of this study was to learn from Primary Care Physicians’ (PCP) experiences of incidents when they had failed to think of, or act on, a cancer diagnosis.Design: A qualitative, online survey eliciting PCP narratives. Thematic analysis was used to analyse the data.Setting and subjects: A primary care study, with narratives from 159 PCPs in 23 European countries.Main outcome measures: PCPs’ narratives on the question ‘If you saw this patient with cancer presenting in the same way today, what would you do differently?Results: The main themes identified were: thinking broadly; improvement in communication and clinical management; use of other available resources and ‘I wouldn’t do anything differently’.Conclusion (Implications): To achieve more timely cancer diagnosis, PCPs need to provide a long-term, holistic and active approach with effective communication, and to ensure shared decision-making, follow-up and continuing re-assessment of the patients’ clinical conditions.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

Nyckelord

Cancer
diagnostic erroors
Europe
primary care physicians
primary health care
qualitative research

Publikations- och innehållstyp

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