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Does the Primary Care Experience Influence the Cancer Diagnostic Process?

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dc.contributor.author Provost, Sylvie
dc.contributor.author Pineault, Raynald
dc.contributor.author Tousignant, Pierre
dc.contributor.author Roberge, Danièle
dc.contributor.author Tremblay, Dominique
dc.contributor.author Breton, Mylaine
dc.contributor.author Lynda, Benhadj
dc.contributor.author Diop, Mamadou
dc.contributor.author Fournier, Michel
dc.contributor.author Brouselle, Astrid
dc.date.accessioned 2021-02-18T23:14:36Z
dc.date.available 2021-02-18T23:14:36Z
dc.date.copyright 2015 en_US
dc.date.issued 2015
dc.identifier.citation Provost, S., Pineault, R., Tousignant, P., Roberge, D., Tremblay, D., Breton, M., … Brousselle, A. (2015). Does the Primary Care Experience Influence the Cancer Diagnostic Process? International Journal of Family Medicine, 2015, 1-12. https://doi.org/10.1155/2015/176812. en_US
dc.identifier.uri https://doi.org/10.1155/2015/176812
dc.identifier.uri http://hdl.handle.net/1828/12694
dc.description.abstract Objective. To analyze the impact of patients’ experience of care at their usual source of primary care on their choice of point of entry into cancer investigation process, time to diagnosis, and presence of metastatic cancer at time of diagnosis. Method. A questionnaire was administered to 438 patients with cancer (breast, lung, and colorectal) between 2011 and 2013 in four oncology clinics of Quebec (Canada). Multiple regression analyses (logistic and Cox models) were conducted. Results. Among patients with symptoms leading to investigation of cancer (n=307), 47% used their usual source of primary care as the point of entry for investigation. Greater comprehensiveness of care was associated with the decision to use this source as point of entry (OR = 1.25; CI 90% = 1.06–1.46), as well as with shorter times between first symptoms and investigation (HR = 1.11; p=0.05), while greater accessibility was associated with shorter times between investigation and diagnosis (HR = 1.13; p < 0.01).  Conclusion. Experience of care at the usual source of primary care has a slight influence on the choice of point of entry for cancer investigation and on time to diagnosis. This influence appears to be more related to patients’ perceptions of the accessibility and comprehensiveness of their usual source of primary care. en_US
dc.description.sponsorship The authors express their gratitude to the oncology clinics and their patients for their participation in this study. They underline the contribution of the Centre de Recherche du Centre Hospitalier Charles-LeMoyne and of the Santé des Populations et Services de Santé research team attached to Direction de Santé Publique du Centre Intégré Universitaire de Santé et Services Sociaux du Centre-Sud-de-l’Île-de-Montréal, which supported the realization of this study. The research was funded by the Fonds de Recherche du Québec–Santé (FRQS)–Recherches sur le Cancer. en_US
dc.language.iso en en_US
dc.publisher International Journal of Family Medicine en_US
dc.title Does the Primary Care Experience Influence the Cancer Diagnostic Process? en_US
dc.type Article en_US
dc.description.scholarlevel Faculty en_US
dc.description.reviewstatus Reviewed en_US


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