How health system factors influence referral decisions in patients that may have cancer: European symposium report
Journal Title: Journal of Cancer Research & Therapy - Year 2016, Vol 4, Issue 1
Abstract
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.
Authors and Affiliations
Harris M, Frey P, Esteva M, Gašparović-Babić S, Marzo-Castillejo M, Petek D, Petek Ster M, Thulesius H
Keywords
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- EP ID EP541471
- DOI 10.14312/2052-4994.2016-2
- Views 68
- Downloads 0
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