Evans Ruth E C, Morris Melanie, Sekhon Mandeep, Buszewicz Marta, Walter Fiona M, Waller Jo, Simon Alice E
Research associate, Health Services Research, School of Health Sciences, City University, London.
Research fellow in epidemiology, Health Behaviour Research Centre, Department of Epidemiology and Public Health;
Br J Gen Pract. 2014 Jun;64(623):e372-80. doi: 10.3399/bjgp14X680161.
In the UK there has been an effort, through the National Awareness and Early Diagnosis Initiative (NAEDI), to increase early stage diagnoses and ultimately cancer survival. Encouraging early symptom presentation through awareness-raising activities in primary care is one method to achieve this goal. Understanding GPs' views about this type of activity, however, is crucial prior to implementation.
To describe GPs' attitudes to raising public awareness of gynaecological cancers, and their views about the potential impact on primary care services.
An online survey with a convenience sample recruited from 1860 UK general practices.
An invitation was emailed to GPs via practice managers and included a weblink to a draft education leaflet and an online survey about the impact of sending a leaflet giving information about symptoms associated with gynaecological cancers to all women on GPs' lists. Participants could offer additional free text comments which were coded using content analysis.
A total of 621 GPs participated. Most (77%, 477) felt that raising awareness of cancers was important. Only half (50%, 308), however, indicated that they would distribute such a leaflet from their practice. Barriers to implementation included concerns about financial costs; emotional impact on patients; increased demand for appointments and diagnostic services, such as ultrasound.
GPs were generally positive about an intervention to improve patients' awareness of gynaecological cancers, but had concerns about increasing rates of presentation. There is a need for research quantifying the benefits of earlier diagnosis against resource costs such as increased consultations, investigations, and referrals.
在英国，通过国家意识与早期诊断倡议（NAEDI）努力提高早期诊断率并最终提高癌症生存率。通过在初级保健中开展提高认识活动来鼓励早期症状表现是实现这一目标的一种方法。然而，在实施之前了解全科医生对这类活动的看法至关重要。
描述全科医生对提高公众对妇科癌症认识的态度，以及他们对其对初级保健服务潜在影响的看法。
从1860家英国全科诊所招募便利样本进行在线调查。
通过诊所经理向全科医生发送电子邮件邀请，其中包括一份教育传单草稿的网络链接以及一项关于向全科医生名单上的所有女性发送一份提供与妇科癌症相关症状信息的传单的影响的在线调查。参与者可以提供额外的自由文本评论，并使用内容分析进行编码。
共有621名全科医生参与。大多数（77%，477名）认为提高对癌症的认识很重要。然而，只有一半（50%，308名）表示他们会在自己的诊所分发这样的传单。实施的障碍包括对财务成本的担忧；对患者的情感影响；预约和诊断服务（如超声）需求增加。
全科医生总体上对提高患者对妇科癌症认识的干预措施持积极态度，但对就诊率上升有所担忧。需要进行研究，以量化早期诊断的益处与资源成本（如增加的咨询、检查和转诊）之间的关系。
