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Priorities for implementation research on diagnosing cancer in primary care: a consensus process
Thomas A Willis1, Richard D Neal2, Fiona M Walter3
1Leeds Institute of Health Sciences, University of Leeds, Clarendon Way, Leeds, LS2 9NL, United Kingdom. t.a.willis@leeds.ac.uk.
BMC Health Services Research
|November 28, 2023
Summary
Identifying research priorities for early cancer diagnosis in primary care is crucial. This study highlights key areas like diagnostic support and care organization to improve patient outcomes.
Area of Science:
- Oncology
- Health Services Research
- Implementation Science
Background:
- Early cancer detection and diagnosis in primary care remain challenging, with significant gaps in translating research into practice.
- Implementation research is vital for accelerating the adoption of evidence-based strategies in healthcare systems.
- Addressing these challenges is critical to reduce avoidable cancer mortality and morbidity.
Purpose of the Study:
- To identify and rank research priorities for implementation research focused on early cancer diagnosis within primary care settings.
- To gather input from primary care physicians, patients, and researchers to inform research agendas.
- To guide future research efforts and resource allocation for improving cancer detection and diagnosis.
Main Methods:
- A modified Delphi consensus process using online surveys and a consensus panel was employed.
- Primary care physicians, patients, and researchers suggested and rated research priorities.
- A consensus panel, including physicians and patients, ranked suggestions after structured discussion.
Main Results:
- 115 initial suggestions were received, with 37 presented to a consensus panel.
- 27 suggestions achieved high support (median rating 7-9) after two rounds of evaluation.
- Top priorities included diagnostic support (e.g., imaging access), professional/patient education, care delivery organization, and understanding care variations.
Conclusions:
- A ranked list of implementation research priorities for early cancer diagnosis in primary care has been established.
- These priorities were informed by the perspectives of primary care physicians and patients.
- Recommendations are made for researchers and funders to direct resources towards these identified priorities to enhance population health outcomes.
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