Avtor/Urednik | Harris, Michael; Frey, Peter; Esteva, Magdalena; Gašparović-Babić, Svjetlana; Marzo-Castillejo, Mercè; Petek, Davorina; Petek Šter, Marija; Thulesius, Hans | |
Naslov | How health system factors influence referral decisions in patients that may have cancer | |
Tip | članek | |
Vol. in št. | Letnik 4, št. 1 | |
Leto izdaje | 2016 | |
Obseg | str. 7-10 | |
ISSN | 1472-6920 - BMC medical education | |
Jezik | eng | |
Abstrakt | Objective: To identify the system and other non-clinical factors that may influence a General Practitioners' decision on whether to refer a patient who may have cancer. Study design: Expert group discussion and consensus formation. Methods: A group of eight General Practitioner (GP) researchers from Croatia, England, Slovenia, Spain, Sweden and Switzerland used brainstorming to identify the non- clinical factors that could affect GPs' decision-making when faced with patients that might have cancer. The group refined and came to a consensus on these factors. Results: Many non-clinical factors are likely to have a significant impact on referral decisions. These include levels of gatekeeping responsibility, funding systems, access to special investigations, fear of litigation, and relationships with specialist colleagues. Conclusions: Many patients with cancer present without red-flag symptoms, but nevertheless still cause a feeling of concern in their GPs. How a health system is organised is likely to influence on how GPs act on those concerns. | |
Proste vsebinske oznake | health care systems cancer early detection of cancer sistem zdravstvenega varstva rak zgodnje odkrivanje raka |