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Hidden systems in primary care cancer detection: an embedded qualitative intervention development study.

Julia HiscockRebecca-Jane LawKatherine BrainStephanie E SmitsSadia NafeesNefyn Howard WilliamsJan RoseRuth A LewisJessica Louise RobertsAnnie HendryRichard D NealClare E Wilkinson
Published in: The British journal of general practice : the journal of the Royal College of General Practitioners (2024)
By exploring individual GP behaviours together with practice systems and culture we contribute new understanding about how cancer diagnosis operates in primary care and how delays can be improved. We highlight commonly overlooked dynamics and tensions that are experienced by GPs as a tension between individual decision making (Capability and Motivation) and external considerations, such as pressures in secondary care (Opportunity).
Keyphrases
  • primary care
  • papillary thyroid
  • healthcare
  • decision making
  • squamous cell
  • randomized controlled trial
  • quality improvement
  • palliative care
  • lymph node metastasis
  • squamous cell carcinoma
  • sensitive detection