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dc.contributor.authorRose, P
dc.contributor.authorVedsted, P
dc.contributor.authorRubin, G
dc.contributor.authorHarrison, S
dc.contributor.authorBomb, M
dc.contributor.authorGroves, B
dc.contributor.authorHamilton, W
dc.contributor.authorTeam, ICBPM3
dc.date.accessioned2016-07-12T13:26:43Z
dc.date.issued2014-09
dc.description.abstractBackground The International Cancer Benchmarking Partnership (ICBP), is a collaboration between six countries and 12 jurisdictions with similar primary care led health services. This study investigates factors that may contribute to survival differences across these jurisdictions. Methods A validated survey was sent to primary care physicians (PCPs) in the 12 jurisdictions. The survey had two parts: direct questions on primary care structure and practice relating to cancer diagnosis, and clinical vignettes, assessing management of scenarios relating to the diagnosis of lung, colorectal or ovarian cancer. Results 2795 PCPs responded. Four of five vignettes showed a statistically significant correlation (p<0.05 or better) between readiness to investigate or refer to secondary care at the first phase of each vignette and cancer survival rates for that jurisdiction. No consistent associations were found between readiness to investigate and selected PCP demographic, practice and health system variables. Interpretation We demonstrate a correlation between the readiness of PCPs to investigate symptoms indicative of cancer and cancer survival rates, one of the first possible explanations for the variation in cancer survival between ICBP countries. No specific health system features consistently explained these findings. Some jurisdictions may consider lowering thresholds for PCPs to investigate for cancer – either directly, or by specialist referral to improve outcomes.en_GB
dc.identifier.citationEuropean Journal of Cancer Care, 2014, Vol. 23, pp. 30 - 31en_GB
dc.identifier.doi10.1111/ecc.12227
dc.identifier.urihttp://hdl.handle.net/10871/22524
dc.language.isoenen_GB
dc.publisherWileyen_GB
dc.relation.urlhttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000341715300078&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=0326ddbefd13eaffce8024ca57cffb07en_GB
dc.rightsThis is the author accepted manuscript. The final version is available from Wiley via the DOI in this record.en_GB
dc.titleExplaining variation in cancer outcomes between eleven jurisdictions in the International Cancer Benchmarking Partnership: a primary care surveyen_GB
dc.typeArticleen_GB
dc.date.available2016-07-12T13:26:43Z
dc.identifier.issn0961-5423
dc.identifier.journalEuropean Journal of Cancer Careen_GB


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