Waikato Medical Research Centre, The University of Waikato, Hamilton, New Zealand.
School of Nursing, Auckland University of Technology, Auckland, New Zealand.
Eur J Cancer Care (Engl). 2021 Mar;30(2):e13380. doi: 10.1111/ecc.13380. Epub 2020 Dec 5.
The objective of this research was to document the barriers to early presentation and diagnosis of lung cancer within primary healthcare, identified by Māori whānau (families) and primary healthcare providers in the Midland region of Aotearoa New Zealand.
This project used a kaupapa Māori approach. Nine community hui (focus groups) and nine primary healthcare provider hui were carried out in five rural localities in the Midland region. Each community hui included cancer patients, whānau, and other community members. Each healthcare provider hui comprised staff members at the local primary healthcare centre, including General Practitioners and nurses. Hui data were thematically analysed.
Barriers and enablers to early diagnosis of lung cancer were categorised into three key themes: GP relationship and position in the community, health literacy and pathways to diagnosis.
This study demonstrates that culturally responsive, patient-centred healthcare, and positive GP-patient relationships are significant factors for Māori patients and whānau serving as barriers and enablers to early diagnosis of lung cancer.
本研究旨在记录新西兰奥克兰米德兰地区的毛利家庭和初级保健提供者在初级保健中发现的肺癌早期就诊和诊断的障碍。
本项目采用毛利人方法。在米德兰地区的五个农村地区进行了九次社区专题讨论会（焦点小组）和九次初级保健提供者专题讨论会。每个社区专题讨论会都包括癌症患者、家庭和其他社区成员。每个医疗保健提供者专题讨论会都包括当地初级保健中心的工作人员，包括全科医生和护士。对 Hui 数据进行了主题分析。
肺癌早期诊断的障碍和促进因素分为三个关键主题：全科医生的关系和在社区中的地位、健康素养和诊断途径。
这项研究表明，文化响应、以患者为中心的医疗保健以及积极的全科医生-患者关系是毛利患者和家庭作为肺癌早期诊断的障碍和促进因素的重要因素。
