Does the Primary Care Experience Influence the Cancer Diagnostic Process?
| 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.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.reviewstatus | Reviewed | en_US |
| dc.description.scholarlevel | Faculty | 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.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.language.iso | en | en_US |
| dc.publisher | International Journal of Family Medicine | en_US |
| dc.subject.department | School of Public Administration | |
| dc.title | Does the Primary Care Experience Influence the Cancer Diagnostic Process? | en_US |
| dc.type | Article | en_US |