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Peter Vedsted

How European primary care practitioners think the timeliness of cancer diagnosis can be improved: a thematic analysis

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

DOI

  • Michael Harris, Bath University, University of Bern
  • ,
  • Hans Thulesius, Lund University, Department of Research and Development, Region Kronoberg
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  • Ana Luísa Neves, Imperial College London, London, UK., University of Porto
  • ,
  • Sophie Harker, Bath University
  • ,
  • Tuomas Koskela, Tampere University
  • ,
  • Davorina Petek, University of Ljubljana
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  • Robert Hoffman, Tel Aviv University
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  • Mette Brekke, Universitetet i Oslo
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  • Krzysztof Buczkowski, Nicolaus Copernicus University
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  • Nicola Buono, National Society of Medical Education in General Practice (SNaMID)
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  • Emiliana Costiug, Iuliu Hatieganu University of Medicine and Pharmacy
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  • Geert Jan Dinant, Maastricht University
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  • Gergana Foreva, Medical Center BROD
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  • Eva Jakob, Centro de Salud de Sarria
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  • Mercè Marzo, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol)
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  • Peter Murchie, Aberdeen University
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  • Jolanta Sawicka-Powierza, Medical University of Bialystok
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  • Antonius Schneider, Technical University of Munich
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  • Emmanouil Smyrnakis, Aristotle University of Thessaloniki
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  • Sven Streit, University of Bern
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  • Gordon Taylor, University of Exeter
  • ,
  • Peter Vedsted
  • Birgitta Weltermann, University of Bonn
  • ,
  • Magdalena Esteva, Carlos III Institute of Health (RedIAPP-RETICS)

BACKGROUND: National European cancer survival rates vary widely. Prolonged diagnostic intervals are thought to be a key factor in explaining these variations. Primary care practitioners (PCPs) frequently play a crucial role during initial cancer diagnosis; their knowledge could be used to improve the planning of more effective approaches to earlier cancer diagnosis. OBJECTIVES: This study sought the views of PCPs from across Europe on how they thought the timeliness of cancer diagnosis could be improved. DESIGN: In an online survey, a final open-ended question asked PCPs how they thought the speed of diagnosis of cancer in primary care could be improved. Thematic analysis was used to analyse the data. SETTING: A primary care study, with participating centres in 20 European countries. PARTICIPANTS: A total of 1352 PCPs answered the final survey question, with a median of 48 per country. RESULTS: The main themes identified were: patient-related factors, including health education; care provider-related factors, including continuing medical education; improving communication and interprofessional partnership, particularly between primary and secondary care; factors relating to health system organisation and policies, including improving access to healthcare; easier primary care access to diagnostic tests; and use of information technology. Re-allocation of funding to support timely diagnosis was seen as an issue affecting all of these. CONCLUSIONS: To achieve more timely cancer diagnosis, health systems need to facilitate earlier patient presentation through education and better access to care, have well-educated clinicians with good access to investigations and better information technology, and adequate primary care cancer diagnostic pathway funding.

OriginalsprogEngelsk
Artikelnummere030169
TidsskriftBMJ Open
Vol/bind9
Nummer9
Sider (fra-til)e030169
Antal sider10
ISSN2044-6055
DOI
StatusUdgivet - 2019

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