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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005996naa a2200577 4500
001oai:lup.lub.lu.se:348c39c2-0930-45c0-8a1b-81d77801358b
003SwePub
008180214s2017 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:137567967
009oai:DiVA.org:umu-142105
0247 a https://lup.lub.lu.se/record/348c39c2-0930-45c0-8a1b-81d77801358b2 URI
0247 a https://doi.org/10.1136/bmjopen-2017-0182102 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1375679672 URI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1421052 URI
040 a (SwePub)lud (SwePub)kid (SwePub)umu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
1001 a MacArtney, Johnu University of Oxford4 aut
2451 0a Patients' initial steps to cancer diagnosis in Denmark, England and Sweden : what can a qualitative, cross-country comparison of narrative interviews tell us about potentially modifiable factors?
264 c 2017-11-19
264 1b BMJ,c 2017
520 a OBJECTIVES: To illuminate patterns observed in International Cancer Benchmarking Programme studies by extending understanding of the various influences on presentation and referral with cancer symptoms.DESIGN: Cross-country comparison of Denmark, England and Sweden with qualitative analysis of in-depth interview accounts of the prediagnostic process in lung or bowel cancer.PARTICIPANTS: 155 women and men, aged between 35 and 86 years old, diagnosed with lung or bowel cancer in 6 months before interview.SETTING: Participants recruited through primary and secondary care, social media and word of mouth. Interviews collected by social scientists or nurse researchers during 2015, mainly in participants' homes.RESULTS: Participants reported difficulties in interpreting diffuse bodily sensations and symptoms and deciding when to consult. There were examples of swift referrals by primary care professionals in all three countries. In all countries, participants described difficulty deciding if and when to consult, highlighting concerns about access to general practitioner appointments and overstretched primary care services, although this appears less prominent in the Swedish data. It was not unusual for there to be more than one consultation before referral and we noted two distinct patterns of repeated consultation: (1) situations where the participant left the primary care consultation with a plan of action about what should happen next; (2) participants were unclear about under which conditions to return to the doctors. This second pattern sometimes extended over many weeks during which patients described uncertainty, and sometimes frustration, about if and when they should return and whether there were any other feasible investigations. The latter pattern appeared more evident in the interviews in England and Denmark than Sweden.CONCLUSION: We suggest that if clear action plans, as part of safety netting, were routinely used in primary care consultations then uncertainty, false reassurance and the inefficiency and distress of multiple consultations could be reduced.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng
7001 a Malmström, Marleneu Karolinska Institutet,Lund University,Lunds universitet,Kirurgi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Palliativt Utvecklingscentrum,Forskargrupper vid Lunds universitet,Surgery (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,The Institute for Palliative Care,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)med-mmo
7001 a Overgaard Nielsen, Trineu Aarhus University4 aut
7001 a Evans, Julieu University of Oxford4 aut
7001 a Bernhardson, Britt-Marieu Karolinska Institute4 aut
7001 a Hajdarevic, Senadau Umeå universitet,Umeå University,Institutionen för omvårdnad4 aut0 (Swepub:umu)seahai01
7001 a Chapple, Alisonu University of Oxford4 aut
7001 a Eriksson, Lars Eu Karolinska Institutet,Karolinska Institute4 aut
7001 a Locock, Louiseu University of Aberdeen4 aut
7001 a Rasmussen, Birgitu Lund University,Lunds universitet,Hälsofrämjande komplexa interventioner,Forskargrupper vid Lunds universitet,Palliativt Utvecklingscentrum,Health-promoting Complex Interventions,Lund University Research Groups,The Institute for Palliative Care4 aut0 (Swepub:lu)med-bhu
7001 a Vedsted, Peteru Aarhus University4 aut
7001 a Tishelman, Carolu Karolinska Institutet,Karolinska Institute4 aut
7001 a Andersen, Rikke Sandu Aarhus University4 aut
7001 a Ziebland, Sueu University of Oxford4 aut
7102 a University of Oxfordb Kirurgi, Lund4 org
7730 t BMJ Opend : BMJg 7:11q 7:11x 2044-6055
8564 u http://dx.doi.org/10.1136/bmjopen-2017-018210x freey FULLTEXT
8564 u https://bmjopen.bmj.com/content/bmjopen/7/11/e018210.full.pdf
8564 u https://doi.org/10.1136/bmjopen-2017-018210y Fulltext
8564 u https://umu.diva-portal.org/smash/get/diva2:1158978/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://lup.lub.lu.se/record/348c39c2-0930-45c0-8a1b-81d77801358b
8564 8u https://doi.org/10.1136/bmjopen-2017-018210
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:137567967
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-142105

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