探索全科医生对患者癌症诊断过程的评估:一个调查问卷研究
Gitte Bruun Lauridsen1, Dorte Ejg Jarbøl1, Peter Thye-Rønn2
1Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense.
症状持续时间较长和非特异性症状会对全科医生对癌症诊断途径的评估产生负面影响. 延迟和不明确的症状与对整体过程的较差评估有关.
科学领域:
- 在瘤学瘤学.
- 一般实践 一般实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 癌症诊断途径通常始于初级保健.
- 多个因素影响了这些诊断过程的效率和有效性.
研究的目的:
- 研究患者特征,症状表现,癌症类型和全科医生对癌症诊断过程的评估之间的关系.
- 确定与全科医生对诊断护理质量评估相关的因素.
主要方法:
- 一份问卷调查分发给丹麦各地的一般实践机构.
- 从全科医生收集了2019年3月至2021年2月期间患者症状表现和他们对发生癌症病例诊断过程的评估数据.
主要成果:
- 在5868名诊断途径从全科医院开始的患者中,48.3%出现了特定的癌症症状.
- 一般医生认为55.6%的诊断过程"非常好",32.3%的诊断过程"主要好".
- 症状持续时间较长 (≥2个月) 和非特异性症状与医生对诊断过程的评估较差有关.
结论:
- 症状持续时间延长和缺乏特定的癌症症状与全科医生对诊断过程的负面看法有关.
- 与其他组件相比,患者在诊断过程中的作用被评价不那么有利.
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