Green Trish, Atkin Karl, Macleod Una
Hull York Medical School, University of Hull, Hull, UK.
Health Sciences, University of York, York, UK.
Health Expect. 2016 Apr;19(2):377-87. doi: 10.1111/hex.12362. Epub 2015 Mar 26.
Public awareness campaigns for cancer are used to alert the UK population to symptoms which, if experienced, should be discussed with their general practitioner (GP). More timely diagnosis of cancer is assumed possible if patients with the appropriate symptoms present to GPs and GPs recognise the need to act on these symptoms.
To investigate GPs' perceptions and experiences of public awareness campaigns for cancer.
Semi-structured interviews with 55 GPs from practices in the North and North East of England and Greater London. Interviews were recorded and transcribed verbatim. Repeated reading of GP transcripts engendered thematic analysis and co-coding ensured legitimacy of findings.
Participants supported the underpinning ethos of public health campaigns and articulated a commitment to engaging with patients with respect to cancer warning signs and symptoms despite the common perception that public awareness campaigns increased numbers of consultations. Tensions were evident with regard to increased demands on GP time and primary care resources during a period of major upheaval within the NHS. Concern was raised that some patients remain outwith the reach of campaign messages. The complexity of addressing how public health messages compete with other issues in people's lives was identified as challenging.
General practitioners provided insight into why some members of the general public do not engage with public health messages. Public health/primary care interaction that incorporates GPs' knowledge of their patient populations could advance the search for solutions to a more robust approach to earlier cancer recognition and referral in primary care.
癌症公众宣传活动旨在提醒英国民众注意一些症状，若出现这些症状，应与他们的全科医生（GP）进行讨论。如果出现相应症状的患者前往全科医生处就诊，且全科医生认识到应对这些症状采取行动，那么就有可能更及时地诊断癌症。
调查全科医生对癌症公众宣传活动的看法和经验。
对来自英格兰北部、东北部以及大伦敦地区诊所的55名全科医生进行半结构化访谈。访谈进行录音并逐字转录。反复阅读全科医生的访谈记录进行主题分析，共同编码确保研究结果的合理性。
参与者支持公共卫生活动的基本理念，并表示致力于就癌症警示信号和症状与患者进行沟通，尽管人们普遍认为公众宣传活动增加了咨询量。在国民医疗服务体系（NHS）发生重大变革期间，全科医生的时间和初级医疗资源需求增加，矛盾明显。有人担心一些患者仍无法接触到宣传信息。人们认为解决公共卫生信息如何与人们生活中的其他问题竞争这一复杂性颇具挑战性。
全科医生深入探讨了为何一些普通民众不参与公共卫生信息活动。结合全科医生对患者群体了解的公共卫生/初级医疗互动，可能有助于寻求解决方案，以采取更有力的方法在初级医疗中更早地识别癌症并进行转诊。
