{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T22:00:08Z","timestamp":1747173608952,"version":"3.40.5"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T00:00:00Z","timestamp":1729123200000},"content-version":"unspecified","delay-in-days":290,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S146342362400029X_as1\">\n\t    <jats:title>Introduction:<\/jats:title>\n\t    <jats:p>It is essential to increase the rates of early diagnosis in cancer control, and the diagnostic process needs to be improved to achieve this goal. Previous studies showed that in countries where there is a gatekeeping system, there might be a delay in cancer diagnosis. Our aim is to examine the process of cancer diagnosis in a healthcare system without gatekeeping.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S146342362400029X_as2\">\n\t    <jats:title>Method:<\/jats:title>\n\t    <jats:p>A quantitative descriptive study has been conducted in various outpatient clinics of Pendik Training and Research Hospital, between 1 February and 31 May 2019, with individuals aged over 18 and diagnosed with cancer in the last six months. The data was collected through a questionnaire filled in by face-to-face interview method. Patient\u2019s socio-economic characteristics, their symptoms at the time of the diagnosis and the diagnosis process were questioned.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S146342362400029X_as3\">\n\t    <jats:title>Result:<\/jats:title>\n\t    <jats:p>The median diagnostic interval was 30 days (min\u2013max 1\u2013365), and the median patient interval was 60 (1\u2013600) days. Patients pointed out that the diagnostic tests, especially the pathology reporting process, caused the diagnostic interval to be prolonged. Of the patients, 84% (<jats:italic>n<\/jats:italic> 135) stated that they did not consider their symptoms as a sign of serious illness. The patient interval was shortest with symptoms of haematuria and haematochezia and longest with dysuria and change in bladder habit.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S146342362400029X_as4\">\n\t    <jats:title>Discussion:<\/jats:title>\n\t    <jats:p>The study examined the diagnosis process in our health system, where patients can apply for health services at any stage. The results showed that there were no superior outcomes to those observed in primary care-led health systems. Patients reported that waiting times for medical tests led to prolongation of the diagnosis time. Cancer awareness of patients should also be increased to shorten patient admission times.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s146342362400029x","type":"journal-article","created":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T07:51:16Z","timestamp":1729151476000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic process of cancer in a health system without gatekeeping: a single centre survey analysis"],"prefix":"10.1017","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2496-2071","authenticated-orcid":false,"given":"Ay\u015fenur","family":"Duman Dilbaz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5805-6216","authenticated-orcid":false,"given":"Saliha Serap","family":"\u00c7if\u00e7ili","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,10,17]]},"reference":[{"key":"S146342362400029X_ref9","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp13X660724"},{"key":"S146342362400029X_ref8","unstructured":"OECD Data, Indicator: Doctors (2023) Retrieved 17 January 2023 from https:\/\/data.oecd.org\/healthres\/doctors.htm"},{"key":"S146342362400029X_ref11","doi-asserted-by":"publisher","DOI":"10.1080\/02813432.2020.1794415"},{"key":"S146342362400029X_ref21","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2016-005401"},{"key":"S146342362400029X_ref3","first-page":"43","article-title":"Comparison of average patient examination times per capita between 2002\u20132018 in 18 OECD countries","volume":"3","author":"\u00c7\u0131rakl\u0131","year":"2020","journal-title":"Journal of Healthcare Quality and Accreditation"},{"key":"S146342362400029X_ref23","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0114028"},{"key":"S146342362400029X_ref15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2354.2008.01020.x"},{"key":"S146342362400029X_ref13","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6605398"},{"key":"S146342362400029X_ref6","doi-asserted-by":"publisher","DOI":"10.3109\/02813432.2010.537015"},{"key":"S146342362400029X_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2016.11.016"},{"key":"S146342362400029X_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.33588"},{"key":"S146342362400029X_ref4","doi-asserted-by":"publisher","DOI":"10.1038\/nrclinonc.2013.212"},{"key":"S146342362400029X_ref7","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp10X483175"},{"key":"S146342362400029X_ref10","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp13X660733"},{"key":"S146342362400029X_ref16","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmr044"},{"key":"S146342362400029X_ref17","doi-asserted-by":"publisher","DOI":"10.1093\/jncimonographs\/lgq001"},{"key":"S146342362400029X_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67030-4"},{"key":"S146342362400029X_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2018.03.016"},{"volume-title":"Health statistics yearbook","year":"2020","key":"S146342362400029X_ref20"},{"key":"S146342362400029X_ref18","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-018-4287-8"},{"volume-title":"Guide to Early Cancer Diagnosis","year":"2017)","key":"S146342362400029X_ref24"},{"key":"S146342362400029X_ref25","first-page":"58","article-title":"How many minutes should be reserved per patient in ambulatory care visits?","volume":"15","author":"Yard\u0131m","year":"2017)","journal-title":"Turkish Journal of Public Health"},{"key":"S146342362400029X_ref19","unstructured":"Reibling, N and Wendt, C (2010) Access regulation and utilization of healthcare services, 113, 36. Retrieved 17 January 2023 from https:\/\/www.ssoar.info\/ssoar\/handle\/document\/19549"},{"key":"S146342362400029X_ref12","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g7400"},{"key":"S146342362400029X_ref2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2019-0057"},{"key":"S146342362400029X_ref14","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp12X654551"}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S146342362400029X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T07:51:21Z","timestamp":1729151481000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S146342362400029X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":26,"alternative-id":["S146342362400029X"],"URL":"https:\/\/doi.org\/10.1017\/s146342362400029x","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"type":"print","value":"1463-4236"},{"type":"electronic","value":"1477-1128"}],"subject":[],"published":{"date-parts":[[2024]]},"assertion":[{"value":"\u00a9 The Author(s), 2024. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e47"}}