{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T22:15:46Z","timestamp":1767046546587,"version":"3.48.0"},"reference-count":48,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,9,10]]},"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>National European cancer survival rates vary widely. Prolonged diagnostic intervals are thought to be a key factor in explaining these variations. Primary care practitioners (PCPs) frequently play a crucial role during initial cancer diagnosis; their knowledge could be used to improve the planning of more effective approaches to earlier cancer diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study sought the views of PCPs from across Europe on how they thought the timeliness of cancer diagnosis could be improved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>In an online survey, a final open-ended question asked PCPs how they thought the speed of diagnosis of cancer in primary care could be improved. Thematic analysis was used to analyse the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A primary care study, with participating centres in 20 European countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 1352 PCPs answered the final survey question, with a median of 48 per country.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The main themes identified were: patient-related factors, including health education; care provider-related factors, including continuing medical education; improving communication and interprofessional partnership, particularly between primary and secondary care; factors relating to health system organisation and policies, including improving access to healthcare; easier primary care access to diagnostic tests; and use of information technology. Re-allocation of funding to support timely diagnosis was seen as an issue affecting all of these.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>To achieve more timely cancer diagnosis, health systems need to facilitate earlier patient presentation through education and better access to care, have well-educated clinicians with good access to investigations and better information technology, and adequate primary care cancer diagnostic pathway funding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-030169","type":"journal-article","created":{"date-parts":[[2019,9,24]],"date-time":"2019-09-24T11:47:11Z","timestamp":1569325631000},"page":"e030169","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["How European primary care practitioners think the timeliness of cancer diagnosis can be improved: a thematic analysis"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7166-2971","authenticated-orcid":false,"given":"Michael","family":"Harris","sequence":"first","affiliation":[{"name":"Department for Health, University of Bath, Bath, UK"},{"name":"Berner Institut f\u00fcr Hausarztmedizin (BIHAM), University of Bern, Bern, Switzerland"}]},{"given":"Hans","family":"Thulesius","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Lund University, Lund, Sweden"},{"name":"Department of Research and Development, Region Kronoberg, Sweden"}]},{"given":"Ana Lu\u00edsa","family":"Neves","sequence":"additional","affiliation":[{"name":"Institute of Global Health Innovation, Imperial College London, London, UK"},{"name":"CINTESIS (Centre for Health Technology and Services Research) and MEDCIDS (Department of Community Medicine, Information and Health Decision Sciences), Faculty of Medicine, University of Porto, Porto, Portugal"}]},{"given":"Sophie","family":"Harker","sequence":"additional","affiliation":[{"name":"Department for Health, University of Bath, Bath, UK"}]},{"given":"Tuomas","family":"Koskela","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland"}]},{"given":"Davorina","family":"Petek","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Ljubljana, Ljubljana, Slovenia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3053-835X","authenticated-orcid":false,"given":"Robert","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Tel Aviv University, Tel Aviv, Israel"}]},{"given":"Mette","family":"Brekke","sequence":"additional","affiliation":[{"name":"Department of General Practice and General Practice Research Unit, University of Oslo, Oslo, Norway"}]},{"given":"Krzysztof","family":"Buczkowski","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Nicolaus Copernicus University, Toru\u0144, Poland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8797-477X","authenticated-orcid":false,"given":"Nicola","family":"Buono","sequence":"additional","affiliation":[{"name":"Department of General Practice, National Society of Medical Education in General Practice (SNaMID), Caserta, Italy"}]},{"given":"Emiliana","family":"Costiug","sequence":"additional","affiliation":[{"name":"Family Medicine Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania"}]},{"given":"Geert-Jan","family":"Dinant","sequence":"additional","affiliation":[{"name":"Department of General Practice, Maastricht University, Maastricht, The Netherlands"}]},{"given":"Gergana","family":"Foreva","sequence":"additional","affiliation":[{"name":"Medical Center BROD, Plovdiv, Bulgaria"}]},{"given":"Eva","family":"Jakob","sequence":"additional","affiliation":[{"name":"Primary Health Centre, Centro de Sa\u00fade Sarria, Sarria, Lugo, Spain"}]},{"given":"Merc\u00e8","family":"Marzo-Castillejo","sequence":"additional","affiliation":[{"name":"Unitat de Suport a la Recerca, IDIAP Jordi Gol, Institut Catal\u00e0 de la Salut, Barcelona, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9968-5991","authenticated-orcid":false,"given":"Peter","family":"Murchie","sequence":"additional","affiliation":[{"name":"Division of Applied Health Sciences - 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