Primary care practitioners' diagnostic action when the patient may have cancer: an exploratory vignette study in 20 European countries

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

Standard

Primary care practitioners' diagnostic action when the patient may have cancer : an exploratory vignette study in 20 European countries. / Harris, Michael; Brekke, Mette; Dinant, Geert Jan; Esteva, Magdalena; Hoffman, Robert; Marzo-Castillejo, Mercè; Murchie, Peter; Neves, Ana Luísa; Smyrnakis, Emmanouil; Vedsted, Peter; Aubin-Auger, Isabelle; Azuri, Joseph; Buczkowski, Krzysztof; Buono, Nicola; Foreva, Gergana; Babić, Svjetlana Gašparović; Jacob, Eva; Koskela, Tuomas; Petek, Davorina; Šter, Marija Petek; Puia, Aida; Sawicka-Powierza, Jolanta; Streit, Sven; Thulesius, Hans; Weltermann, Birgitta; Taylor, Gordon.

I: BMJ Open, Bind 10, Nr. 10, e035678, 10.2020.

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

Harvard

Harris, M, Brekke, M, Dinant, GJ, Esteva, M, Hoffman, R, Marzo-Castillejo, M, Murchie, P, Neves, AL, Smyrnakis, E, Vedsted, P, Aubin-Auger, I, Azuri, J, Buczkowski, K, Buono, N, Foreva, G, Babić, SG, Jacob, E, Koskela, T, Petek, D, Šter, MP, Puia, A, Sawicka-Powierza, J, Streit, S, Thulesius, H, Weltermann, B & Taylor, G 2020, 'Primary care practitioners' diagnostic action when the patient may have cancer: an exploratory vignette study in 20 European countries', BMJ Open, bind 10, nr. 10, e035678. https://doi.org/10.1136/bmjopen-2019-035678

APA

Harris, M., Brekke, M., Dinant, G. J., Esteva, M., Hoffman, R., Marzo-Castillejo, M., Murchie, P., Neves, A. L., Smyrnakis, E., Vedsted, P., Aubin-Auger, I., Azuri, J., Buczkowski, K., Buono, N., Foreva, G., Babić, S. G., Jacob, E., Koskela, T., Petek, D., ... Taylor, G. (2020). Primary care practitioners' diagnostic action when the patient may have cancer: an exploratory vignette study in 20 European countries. BMJ Open, 10(10), [e035678]. https://doi.org/10.1136/bmjopen-2019-035678

CBE

Harris M, Brekke M, Dinant GJ, Esteva M, Hoffman R, Marzo-Castillejo M, Murchie P, Neves AL, Smyrnakis E, Vedsted P, Aubin-Auger I, Azuri J, Buczkowski K, Buono N, Foreva G, Babić SG, Jacob E, Koskela T, Petek D, Šter MP, Puia A, Sawicka-Powierza J, Streit S, Thulesius H, Weltermann B, Taylor G. 2020. Primary care practitioners' diagnostic action when the patient may have cancer: an exploratory vignette study in 20 European countries. BMJ Open. 10(10):Article e035678. https://doi.org/10.1136/bmjopen-2019-035678

MLA

Vancouver

Author

Harris, Michael ; Brekke, Mette ; Dinant, Geert Jan ; Esteva, Magdalena ; Hoffman, Robert ; Marzo-Castillejo, Mercè ; Murchie, Peter ; Neves, Ana Luísa ; Smyrnakis, Emmanouil ; Vedsted, Peter ; Aubin-Auger, Isabelle ; Azuri, Joseph ; Buczkowski, Krzysztof ; Buono, Nicola ; Foreva, Gergana ; Babić, Svjetlana Gašparović ; Jacob, Eva ; Koskela, Tuomas ; Petek, Davorina ; Šter, Marija Petek ; Puia, Aida ; Sawicka-Powierza, Jolanta ; Streit, Sven ; Thulesius, Hans ; Weltermann, Birgitta ; Taylor, Gordon. / Primary care practitioners' diagnostic action when the patient may have cancer : an exploratory vignette study in 20 European countries. I: BMJ Open. 2020 ; Bind 10, Nr. 10.

Bibtex

@article{fddd2dc5b30245ff831dbb9493f03eac,
title = "Primary care practitioners' diagnostic action when the patient may have cancer: an exploratory vignette study in 20 European countries",
abstract = "OBJECTIVES: Cancer survival rates vary widely between European countries, with differences in timeliness of diagnosis thought to be one key reason. There is little evidence on the way in which different healthcare systems influence primary care practitioners' (PCPs) referral decisions in patients who could have cancer.This study aimed to explore PCPs' diagnostic actions (whether or not they perform a key diagnostic test and/or refer to a specialist) in patients with symptoms that could be due to cancer and how they vary across European countries. DESIGN: A primary care survey. PCPs were given vignettes describing patients with symptoms that could indicate cancer and asked how they would manage these patients. The likelihood of taking immediate diagnostic action (a diagnostic test and/or referral) in the different participating countries was analysed. Comparisons between the likelihood of taking immediate diagnostic action and physician characteristics were calculated. SETTING: Centres in 20 European countries with widely varying cancer survival rates. PARTICIPANTS: A total of 2086 PCPs answered the survey question, with a median of 72 PCPs per country. RESULTS: PCPs' likelihood of immediate diagnostic action at the first consultation varied from 50% to 82% between countries. PCPs who were more experienced were more likely to take immediate diagnostic action than their peers. CONCLUSION: When given vignettes of patients with a low but significant possibility of cancer, more than half of PCPs across Europe would take diagnostic action, most often by ordering diagnostic tests. However, there are substantial between-country variations.",
keywords = "adult oncology, international health services, primary care",
author = "Michael Harris and Mette Brekke and Dinant, {Geert Jan} and Magdalena Esteva and Robert Hoffman and Merc{\`e} Marzo-Castillejo and Peter Murchie and Neves, {Ana Lu{\'i}sa} and Emmanouil Smyrnakis and Peter Vedsted and Isabelle Aubin-Auger and Joseph Azuri and Krzysztof Buczkowski and Nicola Buono and Gergana Foreva and Babi{\'c}, {Svjetlana Ga{\v s}parovi{\'c}} and Eva Jacob and Tuomas Koskela and Davorina Petek and {\v S}ter, {Marija Petek} and Aida Puia and Jolanta Sawicka-Powierza and Sven Streit and Hans Thulesius and Birgitta Weltermann and Gordon Taylor",
year = "2020",
month = oct,
doi = "10.1136/bmjopen-2019-035678",
language = "English",
volume = "10",
journal = "B M J Open",
issn = "2044-6055",
publisher = "BMJ Publishing Group",
number = "10",

}

RIS

TY - JOUR

T1 - Primary care practitioners' diagnostic action when the patient may have cancer

T2 - an exploratory vignette study in 20 European countries

AU - Harris, Michael

AU - Brekke, Mette

AU - Dinant, Geert Jan

AU - Esteva, Magdalena

AU - Hoffman, Robert

AU - Marzo-Castillejo, Mercè

AU - Murchie, Peter

AU - Neves, Ana Luísa

AU - Smyrnakis, Emmanouil

AU - Vedsted, Peter

AU - Aubin-Auger, Isabelle

AU - Azuri, Joseph

AU - Buczkowski, Krzysztof

AU - Buono, Nicola

AU - Foreva, Gergana

AU - Babić, Svjetlana Gašparović

AU - Jacob, Eva

AU - Koskela, Tuomas

AU - Petek, Davorina

AU - Šter, Marija Petek

AU - Puia, Aida

AU - Sawicka-Powierza, Jolanta

AU - Streit, Sven

AU - Thulesius, Hans

AU - Weltermann, Birgitta

AU - Taylor, Gordon

PY - 2020/10

Y1 - 2020/10

N2 - OBJECTIVES: Cancer survival rates vary widely between European countries, with differences in timeliness of diagnosis thought to be one key reason. There is little evidence on the way in which different healthcare systems influence primary care practitioners' (PCPs) referral decisions in patients who could have cancer.This study aimed to explore PCPs' diagnostic actions (whether or not they perform a key diagnostic test and/or refer to a specialist) in patients with symptoms that could be due to cancer and how they vary across European countries. DESIGN: A primary care survey. PCPs were given vignettes describing patients with symptoms that could indicate cancer and asked how they would manage these patients. The likelihood of taking immediate diagnostic action (a diagnostic test and/or referral) in the different participating countries was analysed. Comparisons between the likelihood of taking immediate diagnostic action and physician characteristics were calculated. SETTING: Centres in 20 European countries with widely varying cancer survival rates. PARTICIPANTS: A total of 2086 PCPs answered the survey question, with a median of 72 PCPs per country. RESULTS: PCPs' likelihood of immediate diagnostic action at the first consultation varied from 50% to 82% between countries. PCPs who were more experienced were more likely to take immediate diagnostic action than their peers. CONCLUSION: When given vignettes of patients with a low but significant possibility of cancer, more than half of PCPs across Europe would take diagnostic action, most often by ordering diagnostic tests. However, there are substantial between-country variations.

AB - OBJECTIVES: Cancer survival rates vary widely between European countries, with differences in timeliness of diagnosis thought to be one key reason. There is little evidence on the way in which different healthcare systems influence primary care practitioners' (PCPs) referral decisions in patients who could have cancer.This study aimed to explore PCPs' diagnostic actions (whether or not they perform a key diagnostic test and/or refer to a specialist) in patients with symptoms that could be due to cancer and how they vary across European countries. DESIGN: A primary care survey. PCPs were given vignettes describing patients with symptoms that could indicate cancer and asked how they would manage these patients. The likelihood of taking immediate diagnostic action (a diagnostic test and/or referral) in the different participating countries was analysed. Comparisons between the likelihood of taking immediate diagnostic action and physician characteristics were calculated. SETTING: Centres in 20 European countries with widely varying cancer survival rates. PARTICIPANTS: A total of 2086 PCPs answered the survey question, with a median of 72 PCPs per country. RESULTS: PCPs' likelihood of immediate diagnostic action at the first consultation varied from 50% to 82% between countries. PCPs who were more experienced were more likely to take immediate diagnostic action than their peers. CONCLUSION: When given vignettes of patients with a low but significant possibility of cancer, more than half of PCPs across Europe would take diagnostic action, most often by ordering diagnostic tests. However, there are substantial between-country variations.

KW - adult oncology

KW - international health services

KW - primary care

UR - http://www.scopus.com/inward/record.url?scp=85095401338&partnerID=8YFLogxK

U2 - 10.1136/bmjopen-2019-035678

DO - 10.1136/bmjopen-2019-035678

M3 - Journal article

C2 - 33130560

AN - SCOPUS:85095401338

VL - 10

JO - B M J Open

JF - B M J Open

SN - 2044-6055

IS - 10

M1 - e035678

ER -