دورية أكاديمية
أعرض في EDS

Barriers and facilitators to implementing a cancer risk assessment tool (QCancer) in primary care: a qualitative study.

التفاصيل البيبلوغرافية
العنوان: Barriers and facilitators to implementing a cancer risk assessment tool (QCancer) in primary care: a qualitative study.
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; Nottingham Trent University, Nottingham, UK., Siriwardena AN; Community and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincoln, UK.
المصدر: Primary health care research & development [Prim Health Care Res Dev] 2021 Oct 07; Vol. 22, pp. e51. Date of Electronic Publication: 2021 Oct 07.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Cambridge University Press Country of Publication: England NLM ID: 100897390 Publication Model: Electronic Cited Medium: Internet ISSN: 1477-1128 (Electronic) Linking ISSN: 14634236 NLM ISO Abbreviation: Prim Health Care Res Dev Subsets: MEDLINE
أسماء مطبوعة: Publication: Cambridge : Cambridge University Press
Original Publication: London : Arnold, c2000-
مواضيع طبية MeSH: Neoplasms* , Primary Health Care*, Humans ; Qualitative Research ; Referral and Consultation ; Risk Assessment
مستخلص: Aim: We aimed to explore service users' and primary care practitioners' perspectives on the barriers and facilitators to implementing a cancer risk assessment tool (RAT), QCancer, in general practice consultations.
Background: Cancer RATs, including QCancer, are designed to estimate the chances of previously undiagnosed cancer in symptomatic individuals. Little is known about the barriers and facilitators to implementing cancer RATs in primary care consultations.
Methods: We used a qualitative design, conducting semi-structured individual interviews and focus groups with a convenience sample of service users and primary care practitioners.
Findings: In all, 36 participants (19 service users, 17 practitioners) living in Lincolnshire, were included in the interviews and focus groups. Before asking for their views, participants were introduced to QCancer and shown an example of how it estimated cancer risk. Participants identified barriers to implementing the tool namely: additional consultation time; unnecessary worry; potential for over-referral; practitioner scepticism; need for training on use of the tool; need for evidence of effectiveness; and need to integrate the tool in general practice systems. Participants also identified facilitators to implementing the tool as: supporting decision-making; modifying health behaviours; improving speed of referral; and personalising care.
Conclusions: The barriers and facilitators identified should be considered when seeking to implement QCancer in primary care. In addition, further evidence is needed that the use of this tool improves diagnosis rates without an unacceptable increase in harm from unnecessary investigation.
References: Fam Pract. 2013 Apr;30(2):233-41. (PMID: 22987456)
Eur J Cancer. 2013 Mar;49(5):1040-8. (PMID: 23159533)
Lung Cancer. 2002 Jan;35(1):53-7. (PMID: 11750713)
Health Expect. 2020 Apr;23(2):509-518. (PMID: 31967704)
Br J Gen Pract. 2013 Mar;63(608):125-6. (PMID: 23561761)
Aust J Gen Pract. 2018 Mar;47(3):139-145. (PMID: 29621846)
Br J Cancer. 2009 Dec 3;101 Suppl 2:S80-6. (PMID: 19956169)
Fam Pract. 2015 Feb;32(1):101-5. (PMID: 25448163)
Br J Cancer. 2017 Nov 7;117(10):1459-1469. (PMID: 28926528)
Patient Educ Couns. 2008 Dec;73(3):504-10. (PMID: 18718734)
Qual Health Care. 2001 Sep;10(3):193-6. (PMID: 11533427)
Lung Cancer. 2002 Aug;37(2):227-8. (PMID: 12140147)
Oman Med J. 2016 Sep;31(5):325-6. (PMID: 27602184)
Implement Sci. 2009 Aug 07;4:50. (PMID: 19664226)
Br J Gen Pract. 2013 Jul;63(612):342-3. (PMID: 23834862)
Lancet Oncol. 2019 Nov;20(11):1493-1505. (PMID: 31521509)
Prim Health Care Res Dev. 2015 Nov;16(6):548-55. (PMID: 25731758)
Int J Qual Health Care. 2007 Dec;19(6):349-57. (PMID: 17872937)
Br J Cancer. 2015 Mar 31;112 Suppl 1:S77-83. (PMID: 25734392)
Qual Health Res. 2017 Mar;27(4):591-608. (PMID: 27670770)
Br J Cancer. 2012 Jul 10;107(2):260-5. (PMID: 22699822)
Ann Fam Med. 2015 Sep;13(5):480-9. (PMID: 26371271)
فهرسة مساهمة: Keywords: QCancer; cancer risk assessment tools; implementing; primary care
تواريخ الأحداث: Date Created: 20211007 Date Completed: 20211021 Latest Revision: 20211029
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8527274
DOI: 10.1017/S1463423621000281
PMID: 34615569
قاعدة البيانات: MEDLINE
الوصف
تدمد:1477-1128
DOI:10.1017/S1463423621000281