Peter Vedsted

A New Method for Analyzing Diagnostic Delay in Gynecological Cancer

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Standard

A New Method for Analyzing Diagnostic Delay in Gynecological Cancer. / Vandborg, Mai Partridge; Edwards, Kasper; Kragstrup, Jakob; Vedsted, Peter; Hansen, Dorte Gilså; Mogensen, Ole.

I: International Journal of Gynecological Cancer, 2012.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Vandborg, MP, Edwards, K, Kragstrup, J, Vedsted, P, Hansen, DG & Mogensen, O 2012, 'A New Method for Analyzing Diagnostic Delay in Gynecological Cancer', International Journal of Gynecological Cancer. https://doi.org/10.1097/IGC.0b013e31824c6d0e

APA

Vandborg, M. P., Edwards, K., Kragstrup, J., Vedsted, P., Hansen, D. G., & Mogensen, O. (2012). A New Method for Analyzing Diagnostic Delay in Gynecological Cancer. International Journal of Gynecological Cancer. https://doi.org/10.1097/IGC.0b013e31824c6d0e

CBE

Vandborg MP, Edwards K, Kragstrup J, Vedsted P, Hansen DG, Mogensen O. 2012. A New Method for Analyzing Diagnostic Delay in Gynecological Cancer. International Journal of Gynecological Cancer. https://doi.org/10.1097/IGC.0b013e31824c6d0e

MLA

Vandborg, Mai Partridge o.a.. "A New Method for Analyzing Diagnostic Delay in Gynecological Cancer". International Journal of Gynecological Cancer. 2012. https://doi.org/10.1097/IGC.0b013e31824c6d0e

Vancouver

Vandborg MP, Edwards K, Kragstrup J, Vedsted P, Hansen DG, Mogensen O. A New Method for Analyzing Diagnostic Delay in Gynecological Cancer. International Journal of Gynecological Cancer. 2012. https://doi.org/10.1097/IGC.0b013e31824c6d0e

Author

Vandborg, Mai Partridge ; Edwards, Kasper ; Kragstrup, Jakob ; Vedsted, Peter ; Hansen, Dorte Gilså ; Mogensen, Ole. / A New Method for Analyzing Diagnostic Delay in Gynecological Cancer. I: International Journal of Gynecological Cancer. 2012.

Bibtex

@article{eb0fbed4615d4f008a76b7e4c57417e4,
title = "A New Method for Analyzing Diagnostic Delay in Gynecological Cancer",
abstract = "OBJECTIVE: The aim of this article is to present a new methodology to illustrate, understand, and measure delay in health care. The method is inspired by process mapping tools as analytical framework and demonstrates its usefulness for studying diagnostic delay in gynecological cancer. MATERIALS AND METHODS: Six women with a diagnostic delay of 6 weeks or more before treatment of gynecological cancer at a specialized regional department (the Department of Gynecology and Obstetrics, Odense University Hospital, Denmark) were included in the study. Maps of existing processes were performed for each patient reflecting the patients' pathway through the course of the disease. We combined 2 process mapping tools, namely, value stream mapping and business process modeling notation. The first method identifies the flow in a process as timelines. The latter introduces a set of easily recognizable graphical elements. RESULTS: Detailed information concerning the cancer patients' pathway was obtained. The method visualized the complexities within the diagnostic pathway. The role of different participants (patient, general practitioner, and local hospitals) became clear by arranging activities according to responsibilities and was shown to recurrently influence and contribute to the delay in the diagnostic process. Some important contributors to diagnostic delay in gynecological cancer, such as lack of cancer suspicion, competing diseases, negative test results, inexpedient referral patterns, and referrals without cancer suspicion, were found. CONCLUSIONS: Our results point out process mapping tools as a potential analytical framework to illustrate, understand, and measure delay in health care. Furthermore, the method was able to identify important contributors to the diagnostic delay in gynecological cancer patients.",
author = "Vandborg, {Mai Partridge} and Kasper Edwards and Jakob Kragstrup and Peter Vedsted and Hansen, {Dorte Gils{\aa}} and Ole Mogensen",
year = "2012",
doi = "10.1097/IGC.0b013e31824c6d0e",
language = "English",
journal = "International Journal of Gynecological Cancer",
issn = "1048-891X",
publisher = "Lippincott Williams & Wilkins, Ltd.",

}

RIS

TY - JOUR

T1 - A New Method for Analyzing Diagnostic Delay in Gynecological Cancer

AU - Vandborg, Mai Partridge

AU - Edwards, Kasper

AU - Kragstrup, Jakob

AU - Vedsted, Peter

AU - Hansen, Dorte Gilså

AU - Mogensen, Ole

PY - 2012

Y1 - 2012

N2 - OBJECTIVE: The aim of this article is to present a new methodology to illustrate, understand, and measure delay in health care. The method is inspired by process mapping tools as analytical framework and demonstrates its usefulness for studying diagnostic delay in gynecological cancer. MATERIALS AND METHODS: Six women with a diagnostic delay of 6 weeks or more before treatment of gynecological cancer at a specialized regional department (the Department of Gynecology and Obstetrics, Odense University Hospital, Denmark) were included in the study. Maps of existing processes were performed for each patient reflecting the patients' pathway through the course of the disease. We combined 2 process mapping tools, namely, value stream mapping and business process modeling notation. The first method identifies the flow in a process as timelines. The latter introduces a set of easily recognizable graphical elements. RESULTS: Detailed information concerning the cancer patients' pathway was obtained. The method visualized the complexities within the diagnostic pathway. The role of different participants (patient, general practitioner, and local hospitals) became clear by arranging activities according to responsibilities and was shown to recurrently influence and contribute to the delay in the diagnostic process. Some important contributors to diagnostic delay in gynecological cancer, such as lack of cancer suspicion, competing diseases, negative test results, inexpedient referral patterns, and referrals without cancer suspicion, were found. CONCLUSIONS: Our results point out process mapping tools as a potential analytical framework to illustrate, understand, and measure delay in health care. Furthermore, the method was able to identify important contributors to the diagnostic delay in gynecological cancer patients.

AB - OBJECTIVE: The aim of this article is to present a new methodology to illustrate, understand, and measure delay in health care. The method is inspired by process mapping tools as analytical framework and demonstrates its usefulness for studying diagnostic delay in gynecological cancer. MATERIALS AND METHODS: Six women with a diagnostic delay of 6 weeks or more before treatment of gynecological cancer at a specialized regional department (the Department of Gynecology and Obstetrics, Odense University Hospital, Denmark) were included in the study. Maps of existing processes were performed for each patient reflecting the patients' pathway through the course of the disease. We combined 2 process mapping tools, namely, value stream mapping and business process modeling notation. The first method identifies the flow in a process as timelines. The latter introduces a set of easily recognizable graphical elements. RESULTS: Detailed information concerning the cancer patients' pathway was obtained. The method visualized the complexities within the diagnostic pathway. The role of different participants (patient, general practitioner, and local hospitals) became clear by arranging activities according to responsibilities and was shown to recurrently influence and contribute to the delay in the diagnostic process. Some important contributors to diagnostic delay in gynecological cancer, such as lack of cancer suspicion, competing diseases, negative test results, inexpedient referral patterns, and referrals without cancer suspicion, were found. CONCLUSIONS: Our results point out process mapping tools as a potential analytical framework to illustrate, understand, and measure delay in health care. Furthermore, the method was able to identify important contributors to the diagnostic delay in gynecological cancer patients.

U2 - 10.1097/IGC.0b013e31824c6d0e

DO - 10.1097/IGC.0b013e31824c6d0e

M3 - Journal article

C2 - 22453532

JO - International Journal of Gynecological Cancer

JF - International Journal of Gynecological Cancer

SN - 1048-891X

ER -