Koskela, Tuomas H; Esteva, Magdalena; Mangione, Marcello; Contreras Martos, Sara; Hajdarevic, Senada; Högberg, Cecilia; Marzo-Castillejo, Mercè; Sawicka-Powierza, Jolanta; Siliņa, Vija; Harris, Michael; Petek, Davorina (2024). What would primary care practitioners do differently after a delayed cancer diagnosis? Learning lessons from their experiences. Scandinavian Journal of Primary Health Care, 42(1), pp. 123-131. 10.1080/02813432.2023.2296117
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OBJECTIVE
Diagnosis of cancer is challenging in primary care due to the low incidence of cancer cases in primary care practice. A prolonged diagnostic interval may be due to doctor, patient or system factors, or may be due to the characteristics of the cancer itself. The objective of this study was to learn from Primary Care Physicians' (PCP) experiences of incidents when they had failed to think of, or act on, a cancer diagnosis.
DESIGN
A qualitative, online survey eliciting PCP narratives. Thematic analysis was used to analyse the data.
SETTING AND SUBJECTS
A primary care study, with narratives from 159 PCPs in 23 European countries.
MAIN OUTCOME MEASURES
PCPs' narratives on the question 'If you saw this patient with cancer presenting in the same way today, what would you do differently?
RESULTS
The main themes identified were: thinking broadly; improvement in communication and clinical management; use of other available resources and 'I wouldn't do anything differently'.
CONCLUSION (IMPLICATIONS)
To achieve more timely cancer diagnosis, PCPs need to provide a long-term, holistic and active approach with effective communication, and to ensure shared decision-making, follow-up and continuing re-assessment of the patients' clinical conditions.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM) |
UniBE Contributor: |
Harris, Michael Frank |
Subjects: |
600 Technology > 610 Medicine & health 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
1502-7724 |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
21 Dec 2023 09:27 |
Last Modified: |
16 Feb 2024 04:34 |
Publisher DOI: |
10.1080/02813432.2023.2296117 |
PubMed ID: |
38116949 |
Uncontrolled Keywords: |
Cancer Europe diagnostic errors primary care physicians primary health care qualitative research |
BORIS DOI: |
10.48350/190620 |
URI: |
https://boris.unibe.ch/id/eprint/190620 |
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