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What factors empower general practitioners for early cancer diagnosis? A 20-country European Delphi Study.
Tzanis, George; Harris, Michael; Brekke, Mette; Marzo-Castillejo, Mercè; Cifcili, Saliha Serap; Wawrzynek, Wojciech; Flamm, Maria; Buono, Nicola; Márkus, Bernadett; Zacay, Galia; Skuja, Ilze; Adzic, Zlata Ozvacic; Iacob, Mihai; Asenova, Radost; Petek, Davorina; Buczkowski, Krzysztof; Curtis, Pamela; Pilv-Toom, Liina; Hoffman, Robert; Smyrnakis, Emmanouil.
  • Tzanis G; Laboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece.
  • Harris M; College of Medicine & Health, University of Exeter, Exeter, UK.
  • Brekke M; Institute of Primary Health Care Bern (BIHAM), University of Bern, Bern, Switzerland.
  • Marzo-Castillejo M; General Practice Research Unit, University of Oslo, Oslo, Norway.
  • Cifcili SS; Cancer Research Group in Primary Health Care, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
  • Wawrzynek W; Unitat de Suport a la Recerca Metropolitana Sud, Direcció d'Atenció Primària Costa de Ponent, ICS, Barcelona, Spain.
  • Flamm M; Family Medicine Department, School of Medicine, Marmara University, Istanbul, Turkey.
  • Buono N; The Medical Centre, Roscommon, Ireland.
  • Márkus B; Paracelsus Medical University; Institute of General Practice, Salzburg, Austria.
  • Zacay G; Family Medicine and Preventive Medicine, Center for Public Health and Healthcare Research, Salzburg, Austria.
  • Skuja I; National Society of Medical Education in General Practice (SNAMID), Caserta, Italy.
  • Adzic ZO; Department of Family Medicine, Semmelweis University, Budapest, Hungary.
  • Iacob M; Department of family medicine, Sackler Faculty of Medicine, University of Tel Aviv, Tel Aviv, Israel.
  • Asenova R; Department of family medicine, Meuhedet Health Maintenance Organization, Israel.
  • Petek D; Department of Family Medicine, Riga Stradins University, Riga, Latvia.
  • Buczkowski K; School of Medicine, Department of Family Medicine, University of Zagreb, Zagreb, Croatia.
  • Curtis P; Zagreb-Centar Health Center, Zagreb, Croatia.
  • Pilv-Toom L; EUVEKUS, Timis Society of Family Medicine, Timisoara, Romania.
  • Hoffman R; Department of Urology and General Practice, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.
  • Smyrnakis E; Department of Family medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Prim Health Care Res Dev ; 23: e76, 2022 11 25.
Article en En | MEDLINE | ID: mdl-36426593
ABSTRACT

BACKGROUND:

Some symptoms are recognised as red flags for cancer, causing the General Practitioner (GP) to refer the patient for investigation without delay. However, many early symptoms of cancer are vague and unspecific, and in these cases, a delay in referral risks a diagnosis of cancer that is too late. Empowering GPs in their management of patients that may have cancer is likely to lead to more timely cancer diagnoses.

AIM:

To identify the factors that affect European GPs' empowerment in making an early diagnosis of cancer.

METHODS:

This was a Delphi study involving GPs in 20 European countries. We presented GPs with 52 statements representing factors that could empower GPs to increase the number of early cancer diagnoses. Over three Delphi rounds, we asked GPs to indicate the clinical relevance of each statement on a Likert scale.The final list of statements indicated those that were considered by consensus to be the most relevant.

RESULTS:

In total, 53 GPs from 20 European countries completed the Delphi process, out of the 68 GPs who completed round one. Twelve statements satisfied the pre-defined criteria for relevance. Five of the statements related to screening and four to the primary/secondary care interface. The other selected statements concerned information technology (IT) and GPs' working conditions. Statements relating to training, skills and working efficiency were not considered priority areas.

CONCLUSION:

GPs consider that system factors relating to screening, the primary-secondary care interface, IT and their working conditions are key to enhancing their empowerment in patients that could have cancer. These findings provide the basis for seeking actions and policies that will support GPs in their efforts to achieve timely cancer diagnosis.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Médicos Generales / Neoplasias Tipo de estudio: Diagnostic_studies / Prognostic_studies / Screening_studies Límite: Humans Idioma: En Año: 2022 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Médicos Generales / Neoplasias Tipo de estudio: Diagnostic_studies / Prognostic_studies / Screening_studies Límite: Humans Idioma: En Año: 2022 Tipo del documento: Article