Primary care physicians' views of standardised care pathways in cancer care: A Swedish qualitative study on implementation experiences.

Objective: Primary care physicians (PCPs) recently started using standardised care pathways (PCPs) to refer patients to specialists for diagnostics in Sweden. The aim of the current study is therefore to examine PCPs views of implementing standardised care pathways (SCPs) in cancer care. Method: In...

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Publicado en:European Journal of Cancer Care Vol. 30; no. 4; pp. 1 - 9
Autores principales: Wells, Michael B., Delilovic, Sara, Gunnarsson, Malin, Dervish, Jessica, Knorring, Mia, Hasson, Henna
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jul2021
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: European Journal of Cancer Care
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      dt: Jul2021
      vid: 30
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/ecc.13426
        151432537
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        atl: Primary care physicians' views of standardised care pathways in cancer care: A Swedish qualitative study on implementation experiences.
      aug:
        au:
          Wells, Michael B.
          Delilovic, Sara
          Gunnarsson, Malin
          Dervish, Jessica
          Knorring, Mia
          Hasson, Henna
        affil: Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
      sug:
        subj:
          Physicians, Family
          Physician Attitudes Evaluation
          Critical Path
          Oncologic Care Sweden
          Implementation Science
          Human
          Sweden
          Qualitative Studies
          Interviews
          Thematic Analysis
          Organizational Change
          Waiting Lists
          Work Experiences
          Descriptive Research
          Purposive Sample
          Interview Guides
          Audiorecording
          Continuity of Patient Care
          Funding Source
      ab: Objective: Primary care physicians (PCPs) recently started using standardised care pathways (PCPs) to refer patients to specialists for diagnostics in Sweden. The aim of the current study is therefore to examine PCPs views of implementing standardised care pathways (SCPs) in cancer care. Method: In total, 27 semi‐structured interviews (17 individual and 10 group interviews) were conducted within 24 primary care units, including 61 physicians representing the public and private sectors. Interviews were conducted during 2017 and 2018. Data were analysed using a thematic analysis approach. Results: Eight themes, including both perceived opportunities and challenges with the SCPs, were identified in the analysis. Most PCPs valued the SCPs, citing that they expedited the referral system and decreased patient waiting time. However, the guidelines were not completely clear leaving PCPs to wonder what constituted an SCP referral, who should initiate the referral, and how PCPs should communicate and collaborate with specialists. Conclusion: SCPs were a welcomed organisational change by PCPs, where PCPs thought that the SCPs could help in providing better patient care to potential cancer patients. However, updated guidelines and clarifications within the SCPs are warranted to have increased services for both the patients and medical personnel.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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