Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
Eur J Cancer Care (Engl). 2021 Jul;30(4):e13426. doi: 10.1111/ecc.13426. Epub 2021 Feb 8.
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.
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.
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.
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.
初级保健医生（PCP）最近开始在瑞典使用标准化护理路径（PCP）将患者转介给专家进行诊断。因此，本研究旨在探讨 PCP 对癌症护理中实施标准化护理路径（SCP）的看法。
在 24 个初级保健单位中进行了总共 27 次半结构化访谈（17 次个人访谈和 10 次小组访谈），包括代表公共和私营部门的 61 名医生。访谈于 2017 年和 2018 年进行。使用主题分析方法对数据进行分析。
在分析中确定了八个主题，包括 SCP 的机会和挑战。大多数 PCP 都重视 SCP，认为它们加快了转诊系统并减少了患者的等待时间。然而，指南并不完全清楚，让 PCP 怀疑什么构成 SCP 转诊，谁应该发起转诊，以及 PCP 应该如何与专家沟通和合作。
SCP 是 PCP 欢迎的组织变革，PCP 认为 SCP 可以帮助为潜在的癌症患者提供更好的患者护理。然而，需要更新指南并澄清 SCP 内的内容，以增加患者和医务人员的服务。
