دورية أكاديمية
أعرض في EDS

Communicating cancer risk in the primary care consultation when using a cancer risk assessment tool: Qualitative study with service users and practitioners.

التفاصيل البيبلوغرافية
العنوان: Communicating cancer risk in the primary care consultation when using a cancer risk assessment tool: Qualitative study with service users and practitioners.
المؤلفون: Akanuwe JNA; Community and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincoln, UK., Black S; Community and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincoln, UK., Owen S; Waterford Institute of Technology, Waterford, Ireland., Siriwardena AN; Community and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincoln, UK.
المصدر: Health expectations : an international journal of public participation in health care and health policy [Health Expect] 2020 Apr; Vol. 23 (2), pp. 509-518. Date of Electronic Publication: 2020 Jan 22.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: England NLM ID: 9815926 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1369-7625 (Electronic) Linking ISSN: 13696513 NLM ISO Abbreviation: Health Expect Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford, UK : Wiley, c1998-
مواضيع طبية MeSH: General Practitioners* , Neoplasms*/diagnosis , Neoplasms*/therapy, Humans ; Primary Health Care ; Qualitative Research ; Referral and Consultation ; Risk Assessment
مستخلص: Background: Cancer risk assessment tools are designed to help detect cancer risk in symptomatic individuals presenting to primary care. An early detection of cancer risk could mean early referral for investigations, diagnosis and treatment, helping to address late diagnosis of cancer. It is not clear how best cancer risk may be communicated to patients when using a cancer risk assessment tool to assess their risk of developing cancer.
Objective: We aimed to explore the perspectives of service users and primary care practitioners on communicating cancer risk information to patients, when using QCancer, a cancer risk assessment tool.
Design: A qualitative study involving the use of individual interviews and focus groups.
Setting and Participants: Conducted in primary care settings in Lincolnshire with a convenience sample of 36 participants (19 service users who were members of the public) and 17 primary care practitioners (general practitioners and practice nurses).
Results: Participants suggested ways to improve communication of cancer risk information: personalizing risk information; involving patients in use of the tool; sharing risk information openly; and providing sufficient time when using the tool during consultations.
Conclusion: Communication of cancer risk information is complex and difficult. We identified strategies for improving communication with patients involving cancer risk estimations in primary care consultations.
(© 2019 The Authors Health Expectations published by John Wiley & Sons Ltd.)
References: Fam Pract. 2013 Apr;30(2):233-41. (PMID: 22987456)
J Natl Med Assoc. 2004 May;96(5):598-608. (PMID: 15160974)
Med Decis Making. 2001 Nov-Dec;21(6):459-67. (PMID: 11760103)
Br J Cancer. 2015 Dec 22;113(12):1645-50. (PMID: 26633558)
BMJ. 2013 Dec 02;347:f7066. (PMID: 24297974)
Prim Health Care Res Dev. 2015 Nov;16(6):548-55. (PMID: 25731758)
J Am Med Inform Assoc. 2006 Nov-Dec;13(6):608-18. (PMID: 16929039)
BMJ. 2003 Sep 27;327(7417):745-8. (PMID: 14512489)
BMJ. 2004 Feb 21;328(7437):444. (PMID: 14966079)
Br J Gen Pract. 2013 Mar;63(608):125-6. (PMID: 23561761)
Ann Intern Med. 2012 Mar 6;156(5):340-9. (PMID: 22393129)
Br J Cancer. 2012 Jul 10;107(2):260-5. (PMID: 22699822)
Arch Intern Med. 2007 Feb 12;167(3):302-8. (PMID: 17296888)
Br J Gen Pract. 2019 Jul;69(684):e437-e443. (PMID: 31064743)
Age Ageing. 2001 Nov;30(6):473-6. (PMID: 11742775)
Br J Gen Pract. 1999 Jun;49(443):477-82. (PMID: 10562751)
Qual Health Care. 2001 Sep;10(3):193-6. (PMID: 11533427)
Eur J Cancer. 2013 Mar;49(5):1040-8. (PMID: 23159533)
Risk Anal. 1995 Apr;15(2):137-45. (PMID: 7597253)
Med Decis Making. 2000 Apr-Jun;20(2):228-38. (PMID: 10772360)
Psychol Sci Public Interest. 2007 Nov;8(2):53-96. (PMID: 26161749)
Cochrane Database Syst Rev. 2011 Oct 05;(10):CD001431. (PMID: 21975733)
BMJ. 2017 Nov 6;359:j4891. (PMID: 29109079)
Prev Med. 2016 Dec;93:96-105. (PMID: 27687535)
Br J Gen Pract. 2012 Jan;62(594):e29-37. (PMID: 22520670)
J Contin Educ Health Prof. 2013 Fall;33(4):267-73. (PMID: 24347105)
Am J Gastroenterol. 2009 Apr;104(4):942-52. (PMID: 19293786)
Ann Intern Med. 2006 Oct 3;145(7):488-96. (PMID: 17015866)
BMJ. 1999 Nov 6;319(7219):1241-7. (PMID: 10550090)
Ann Intern Med. 2014 Aug 19;161(4):270-80. (PMID: 25133362)
Implement Sci. 2009 Aug 07;4:50. (PMID: 19664226)
Br J Gen Pract. 2013 Jul;63(612):342-3. (PMID: 23834862)
Health Expect. 2020 Apr;23(2):509-518. (PMID: 31967704)
J Gen Intern Med. 2012 Oct;27(10):1361-7. (PMID: 22618581)
Int J Qual Health Care. 2007 Dec;19(6):349-57. (PMID: 17872937)
Qual Health Res. 2017 Mar;27(4):591-608. (PMID: 27670770)
Cancer Nurs. 2018 Jul/Aug;41(4):320-326. (PMID: 28537956)
Prev Med Rep. 2018 Dec 29;13:189-195. (PMID: 30666286)
Cancer Pract. 1998 Jan-Feb;6(1):39-46. (PMID: 9460325)
J Am Board Fam Med. 2009 May-Jun;22(3):272-9. (PMID: 19429733)
J Eval Clin Pract. 2006 Feb;12(1):13-23. (PMID: 16422776)
Br J Cancer. 2009 Dec 3;101 Suppl 2:S80-6. (PMID: 19956169)
Br J Gen Pract. 2011 Nov;61(592):e715-23. (PMID: 22054335)
Gerontologist. 2011 Jun;51 Suppl 1:S33-45. (PMID: 21565817)
فهرسة مساهمة: Keywords: QCancer; cancer risk assessment tools; cancer risk communication; general practitioners; primary care; service user views
تواريخ الأحداث: Date Created: 20200123 Date Completed: 20210818 Latest Revision: 20210818
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC7104630
DOI: 10.1111/hex.13016
PMID: 31967704
قاعدة البيانات: MEDLINE
الوصف
تدمد:1369-7625
DOI:10.1111/hex.13016