TY - JOUR
T1 - What would primary care practitioners do differently after a delayed cancer diagnosis?
T2 - Learning lessons from their experiences
AU - Koskela, Tuomas H
AU - Esteva, Magdalena
AU - Mangione, Marcello
AU - Contreras Martos, Sara
AU - Hajdarevic, Senada
AU - Högberg, Cecilia
AU - Marzo-Castillejo, Mercè
AU - Sawicka-Powierza, Jolanta
AU - Siliņa, Vija
AU - Harris, Michael
AU - Petek, Davorina
N1 - Publisher Copyright:
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2024/2
Y1 - 2024/2
N2 - 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.
AB - 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.
KW - cancer
KW - diagnostic errors
KW - Europe
KW - primary care physicians
KW - primary health care
KW - qualitative research
UR - https://www.tandfonline.com/doi/full/10.1080/02813432.2023.2296117
UR - https://pubmed.ncbi.nlm.nih.gov/38116949/
UR - http://www.scopus.com/inward/record.url?scp=85180175382&partnerID=8YFLogxK
U2 - 10.1080/02813432.2023.2296117
DO - 10.1080/02813432.2023.2296117
M3 - Article
C2 - 38116949
SN - 0281-3432
VL - 42
SP - 123
EP - 131
JO - Scandinavian Journal of Primary Health Care
JF - Scandinavian Journal of Primary Health Care
IS - 1
ER -
