Stephen Rogers1, Carolynn Gildea2, David Meechan2, Richard Baker3. 1. Public Health Department, Northamptonshire County Council, Guildhall Road, Northampton NN1 5DN, UK Department of Health Sciences, University of Leicester, 22-28 Princess Road West, Leicester LE1 6TP, UK. 2. Knowledge and Intelligence Team (East Midlands), Public Health England, 5 Old Fulwood Road, Sheffield S10 3TG, UK. 3. Department of Health Sciences, University of Leicester, 22-28 Princess Road West, Leicester LE1 6TP, UK.
Abstract
BACKGROUND: For some cancers, late presentation is associated with poor survival. In England, less than half of patients are diagnosed following a general practitioner-initiated urgent referral. We explore whether particular practice or practitioner characteristics are associated with use of the urgent referral system. METHODS: The study sample was 603/614 practices in the East Midlands. Logistic regression models were fitted to investigate relationships between cancer detection rate, how easy it is to book appointments quickly, in advance or with a preferred doctor, and whether patients have confidence and trust in the doctor. RESULTS: The percentage of patients who definitely have confidence and trust in the doctor was positively associated with the cancer detection rate [odds ratio = 1.08 (95% confidence interval (CI) 1.01, 1.15) per 10 percentage points]. When all four survey variables were modelled together, the percentage of patients who were able to see a preferred doctor was negatively associated with the cancer detection rate [odds ratio = 0.93 (95% CI 0.88, 0.98) per 10 percentage points]. CONCLUSIONS: Our analyses suggest that in the UK National Health Service, confidence and trust in the doctor may be more important in cancer detection than the ease of access or whether there is choice of doctor.
BACKGROUND: For some cancers, late presentation is associated with poor survival. In England, less than half of patients are diagnosed following a general practitioner-initiated urgent referral. We explore whether particular practice or practitioner characteristics are associated with use of the urgent referral system. METHODS: The study sample was 603/614 practices in the East Midlands. Logistic regression models were fitted to investigate relationships between cancer detection rate, how easy it is to book appointments quickly, in advance or with a preferred doctor, and whether patients have confidence and trust in the doctor. RESULTS: The percentage of patients who definitely have confidence and trust in the doctor was positively associated with the cancer detection rate [odds ratio = 1.08 (95% confidence interval (CI) 1.01, 1.15) per 10 percentage points]. When all four survey variables were modelled together, the percentage of patients who were able to see a preferred doctor was negatively associated with the cancer detection rate [odds ratio = 0.93 (95% CI 0.88, 0.98) per 10 percentage points]. CONCLUSIONS: Our analyses suggest that in the UK National Health Service, confidence and trust in the doctor may be more important in cancer detection than the ease of access or whether there is choice of doctor.
Authors: Louis S Levene; Richard Baker; Nicola Walker; Christopher Williams; Andrew Wilson; John Bankart Journal: Br J Gen Pract Date: 2018-05-08 Impact factor: 5.386
Authors: Y Zhou; S C Mendonca; G A Abel; W Hamilton; F M Walter; S Johnson; J Shelton; L Elliss-Brookes; S McPhail; G Lyratzopoulos Journal: Br J Cancer Date: 2017-11-28 Impact factor: 7.640
Authors: Georgios Lyratzopoulos; Silvia C Mendonca; Carolynn Gildea; Sean McPhail; Michael D Peake; Greg Rubin; Hardeep Singh; William Hamilton; Fiona M Walter; Martin Roland; Gary A Abel Journal: Br J Gen Pract Date: 2017-12-18 Impact factor: 5.386
Authors: Camille Maringe; Nora Pashayan; Francisco Javier Rubio; George Ploubidis; Stephen W Duffy; Bernard Rachet; Rosalind Raine Journal: BMC Cancer Date: 2018-05-31 Impact factor: 4.430
Authors: Sylvie Provost; Raynald Pineault; Pierre Tousignant; Danièle Roberge; Dominique Tremblay; Mylaine Breton; Lynda Benhadj; Mamadou Diop; Michel Fournier; Astrid Brousselle Journal: Int J Family Med Date: 2015-10-04