prikaz prve stranice dokumenta Primary care practitioners’ diagnostic action when the patient may have cancer: an exploratory vignette study in 20 European countries
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Scientific paper - Original scientific paper
Primary care practitioners’ diagnostic action when the patient may have cancer: an exploratory vignette study in 20 European countries
BMJ Open, 10 (2020), 10; 1-10. https://doi.org/10.1136/bmjopen-2019-035678
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 More authors...

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Harris, M., Brekke, M., Dinant, G. J., Esteva, M., Hoffman, R., Marzo Castillejo, M. ... 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), 1-10. doi: 10.1136/bmjopen-2019-035678

Harris, Michael, et al. "Primary care practitioners’ diagnostic action when the patient may have cancer: an exploratory vignette study in 20 European countries." BMJ Open, vol. 10, no. 10, 2020, pp. 1-10. https://doi.org/10.1136/bmjopen-2019-035678

Harris, Michael, Mette Brekke, Geert Jan Dinant, Magdalena Esteva, Robert Hoffman, Mercè Marzo Castillejo, Peter Murchie, et al. "Primary care practitioners’ diagnostic action when the patient may have cancer: an exploratory vignette study in 20 European countries." BMJ Open 10, no. 10 (2020): 1-10. https://doi.org/10.1136/bmjopen-2019-035678

Harris, M., et al. (2020) 'Primary care practitioners’ diagnostic action when the patient may have cancer: an exploratory vignette study in 20 European countries', BMJ Open, 10(10), pp. 1-10. doi: 10.1136/bmjopen-2019-035678

Harris M, Brekke M, Dinant GJ, Esteva M, Hoffman R, Marzo Castillejo M, and sur.. Primary care practitioners’ diagnostic action when the patient may have cancer: an exploratory vignette study in 20 European countries. BMJ Open [Internet]. 2020 October 31 [cited 2024 October 11];10(10):1-10. doi: 10.1136/bmjopen-2019-035678

M. Harris, et al., "Primary care practitioners’ diagnostic action when the patient may have cancer: an exploratory vignette study in 20 European countries", BMJ Open, vol. 10, no. 10, pp. 1-10, October 2020. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:940194. [Accessed: 11 October 2024]

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Metadata
Title (english)Primary care practitioners’ diagnostic action when the patient may have cancer: an exploratory vignette study in 20 European countries
AuthorMichael Harris
AuthorMette Brekke
AuthorGeert-Jan Dinant
AuthorMagdalena Esteva
AuthorRobert Hoffman
AuthorMercè Marzo-Castillejo
AuthorPeter Murchie
AuthorAna Luísa Neves
AuthorEmmanouil Smyrnakis
AuthorPeter Vedsted
AuthorIsabelle Aubin-Auger
AuthorJoseph Azuri
AuthorKrzysztof Buczkowski
AuthorNicola Buono
AuthorGergana Foreva
AuthorSvjetlana Gašparović Babić
AuthorEva Jacob
AuthorTuomas Koskela
AuthorDavorina Petek
AuthorMarija Petek Šter
AuthorAida Puia
AuthorJolanta Sawicka-Powierza
AuthorSven Streit
AuthorHans Thulesius
AuthorBirgitta Weltermann
AuthorGordon Taylor
Author's institutionUniversity of Rijeka
Faculty of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
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 (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleBMJ Open
Numberingvol. 10, no. 10, pp. 1-10
p-ISSN2044-6055
e-ISSN2044-6055
DOIhttps://doi.org/10.1136/bmjopen-2019-035678
URN:NBNurn:nbn:hr:184:940194
Publication2020-10-31
Document URLhttps://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2019-035678
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) icon
Created on2022-03-03 14:57:24