Imperial College London
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Dr Ana Luisa Neves

Faculty of Medicine, School of Public Health

Clinical Senior Lecturer in Digital Health
 
 
 
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Contact

 

ana.luisa.neves14

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Harris:2019:10.1136/bmjopen-2019-030169,
author = {Harris, M and Thulesius, H and Neves, AL and Harker, S and Koskela, T and Petek, D and Hoffman, R and Brekke, M and Buczkowski, K and Buono, N and Costiug, E and Dinant, G-J and Foreva, G and Jakob, E and Marzo-Castillejo, M and Murchie, P and Sawicka-Powierza, J and Schneider, A and Smyrnakis, E and Streit, S and Taylor, G and Vedsted, P and Weltermann, B and Esteva, M},
doi = {10.1136/bmjopen-2019-030169},
journal = {BMJ Open},
pages = {1--10},
title = {How European primary care practitioners think the timeliness of cancer diagnosis can be improved: a thematic analysis},
url = {http://dx.doi.org/10.1136/bmjopen-2019-030169},
volume = {9},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background National European cancer survival rates vary widely. Prolonged diagnostic intervals are thought to be a key factor in explaining these variations. Primary care practitioners (PCPs) frequently play a crucial role during initial cancer diagnosis; their knowledge could be used to improve the planning of more effective approaches to earlier cancer diagnosis.Objectives This study sought the views of PCPs from across Europe on how they thought the timeliness of cancer diagnosis could be improved.Design In an online survey, a final open-ended question asked PCPs how they thought the speed of diagnosis of cancer in primary care could be improved. Thematic analysis was used to analyse the data.Setting A primary care study, with participating centres in 20 European countries.Participants A total of 1352 PCPs answered the final survey question, with a median of 48 per country.Results The main themes identified were: patient-related factors, including health education; care provider-related factors, including continuing medical education; improving communication and interprofessional partnership, particularly between primary and secondary care; factors relating to health system organisation and policies, including improving access to healthcare; easier primary care access to diagnostic tests; and use of information technology. Re-allocation of funding to support timely diagnosis was seen as an issue affecting all of these.Conclusions To achieve more timely cancer diagnosis, health systems need to facilitate earlier patient presentation through education and better access to care, have well-educated clinicians with good access to investigations and better information technology, and adequate primary care cancer diagnostic pathway funding.
AU  - Harris,M
AU  - Thulesius,H
AU  - Neves,AL
AU  - Harker,S
AU  - Koskela,T
AU  - Petek,D
AU  - Hoffman,R
AU  - Brekke,M
AU  - Buczkowski,K
AU  - Buono,N
AU  - Costiug,E
AU  - Dinant,G-J
AU  - Foreva,G
AU  - Jakob,E
AU  - Marzo-Castillejo,M
AU  - Murchie,P
AU  - Sawicka-Powierza,J
AU  - Schneider,A
AU  - Smyrnakis,E
AU  - Streit,S
AU  - Taylor,G
AU  - Vedsted,P
AU  - Weltermann,B
AU  - Esteva,M
DO  - 10.1136/bmjopen-2019-030169
EP  - 10
PY  - 2019///
SN  - 2044-6055
SP  - 1
TI  - How European primary care practitioners think the timeliness of cancer diagnosis can be improved: a thematic analysis
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2019-030169
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000497787600252&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://bmjopen.bmj.com/content/9/9/e030169
UR  - http://hdl.handle.net/10044/1/86493
VL  - 9
ER  -
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