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Exploring why Europ...
Exploring why European primary care physicians sometimes do not think of, or act on, a possible cancer diagnosis : a qualitative study
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- Hajdarevic, Senada (author)
- Umeå universitet,Institutionen för omvårdnad,Allmänmedicin
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- Högberg, Cecilia (author)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin
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- Marzo-Castillejo, Mercè (author)
- Research Support Unit Metropolitana Sud, University Institute for Primary Health Care Research IDIAPJordi Gol, Catalan Health Institute, Barcelona, Spain
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- Siliņa, Vija (author)
- Department of Family Medicine, Riga Stradiņš University, Riga, Latvia
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- Sawicka-Powierza, Jolanta (author)
- Department of Family Medicine, Medical University of Białystok, Białystok, Poland
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- Esteva, Magadalena (author)
- Majorca Primary Care Department, Spain; Balearic Islands Health Research Institute (IdISBa), Balearic Islands, Spain
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- Koskela, Tuomas (author)
- Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland; Center of General Practice,Tampere University Hospital, Tampere, Finland
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- Petek, Davorina (author)
- Department of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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- Contreras-Martos, Sara (author)
- Research Support Unit Metropolitana Sud, University Institute for Primary Health Care Research IDIAPJordi Gol, Catalan Health Institute, Barcelona, Spain
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- Mangione, Marcello (author)
- Local Health Authority Committee, Palermo City, Italy
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- Ožvačić Adžić, Zlata (author)
- Department of Family Medicine, University of Zagreb, School of Medicine, Zagreb, Croatia; Health Center Zagreb-Centar, Zagreb, Croatia
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- Asenova, Radost (author)
- Department Urology and General Practice, Medical University of Plovdiv, Plovdiv, Bulgaria
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- Gašparović Babić, Svjetlana (author)
- Croatian Health Insurance Fund, Rijeka, Croatia
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- Brekke, Mette (author)
- Department of Health and Society, General Practice Research Unit, University of Oslo, Oslo, Norway
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- Buczkowski, Krzysztof (author)
- Department of Health and Society, General Practice Research Unit, University of Oslo, Oslo, Norway
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- Buono, Nicola (author)
- Department of Health and Society, General Practice Research Unit, University of Oslo, Oslo, Norway
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- Çifçili, Saliha Serap (author)
- Family Medicine Department, Marmara University Medical School, Istanbul, Turkey
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- Dinant, Geert-Jan (author)
- Department of General Practice, Maastricht University, Maastricht, The Netherlands
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- Doorn, Babette (author)
- Department of General Practice, Maastricht University, Maastricht, The Netherlands
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- Hoffman, Robert D. (author)
- Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Department of Family Medicine, Maccabi Healthcare Services, Southern District, Israel
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- Kuodza, George (author)
- Department of Family Medicine and Outpatient Care, Medical Faculty #2, Uzhhorod National University, Uzhgorod, Ukraine
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- Murchie, Peter (author)
- Centre of Academic Primary Care, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
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- Pilv, Liina (author)
- Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia
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- Puia, Aida (author)
- Department of Family Medicine, University of Medicine and Pharmacy, Cluj-Napoca, Romania
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- Rapalavicius, Aurimas (author)
- Family Medicine Department, Lithuanian University of Health Sciences, Kaunas, Lithuania
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- Smyrnakis, Emmanouil (author)
- Laboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece
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- Weltermann, Birgitta (author)
- Laboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece
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- Harris, Michael (author)
- Institute of Primary Health Care Bern (BIHAM), University of Bern, Bern, Switzerland; College of Medicine & Health, University of Exeter, Exeter, UK
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(creator_code:org_t)
- Royal College of General Practitioners, 2023
- 2023
- English.
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In: BJGP Open. - : Royal College of General Practitioners. - 2398-3795. ; 7:4
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https://doi.org/10.3...
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https://umu.diva-por... (primary) (Raw object)
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Abstract
Subject headings
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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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Keyword
- Primary health care
- physicians
- primary care
- cancer
- Europe
- diagnostic errors
- qualitative research
Publication and Content Type
- ref (subject category)
- art (subject category)
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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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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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- About the subject
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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 Nursing
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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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BJGP Open
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Umeå University