A qualitative study on detecting cancer symptoms and seeking medical help; an application of Andersen's model of total patient delay
A qualitative study on detecting cancer symptoms and seeking medical help; an application of Andersen's model of total patient delay
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DOI：
10.1016/s0738-3991(00)00104-x
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发表时间：
2001-02-01
影响因子：
3.5
通讯作者：
de Vries, H
中科院分区：
文献类型：
--
作者：
de Nooijer, J;Lechner, L;de Vries, H
患者延迟是指某人首次意识到无法解释的症状之日与他们寻求医疗咨询之日之间的间隔。该预诊断期由几个阶段组成，可能会因个人原因而造成延误。这项研究调查了影响检测癌症症状和咨询全科医生 (GP) 过程的因素。二十三名患者接受了采访，了解他们在此过程中的经历。刺激检测和咨询过程的因素包括将症状与癌症联系起来，以及与他人讨论症状。对症状感到羞耻或尴尬以及将症状归因于常见疾病是阻碍因素之一。本研究的结果表明，未来关于癌症早期发现的健康教育应侧重于增加癌症早期发现的知识并提供积极的信息。建议通过更多渠道，包括非医疗渠道，向公众传播教育材料。 (C) 2001 Elsevier Science Ireland Ltd. 保留所有权利。
Patient delay is the interval between the day someone first becomes aware of an unexplained symptom and the day they seek medical consultation. This pre-diagnostic period is comprised of several stages which may involve delay on the part of the individual. This study investigated factors influencing the process of detecting cancer symptoms and consulting a general practitioner (GP). Twenty-three patients were interviewed about their experiences during this process. Among factors stimulating the process of detection and consultation were associating symptoms with cancer, and discussing symptoms with others. Being ashamed or embarrassed about the symptoms and attributing symptoms to common ailments were among the impeding factors. The findings of the present study suggest that future health education on early detection of cancer should focus on increasing knowledge and providing positive information about early detection of cancer. It is recommended that educational materials be disseminated to the general public via more channels, including non-medical channels. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.