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Patients' views on involving general practice in bowel cancer screening: a South Australian focus group study.

ABSTRACT: OBJECTIVES:To explore patients' experiences of bowel cancer screening and its promotion, and perspectives on possible input from general practice for improving screening rates. DESIGN:Qualitative focus group study underpinned by a phenomenological approach. SETTING:Three general practice clinics in metropolitan South Australia. PARTICIPANTS:Thirty active general practice patients, aged 50-74 years (60% female) who were eligible for the National Bowel Cancer Screening Program. FINDINGS:Factors affecting screening were described, with particular concerns regarding the nature of the test, screening process and culture. There were mixed views on the role for general practice in bowel cancer screening; some participants appreciated the current process and viewed screening as out of scope of primary care services, while others were in support of general practice involvement. Roles for general practice were proposed that comprised actions across the continuum from providing information through to reminders and the provision and collection of screening kits. With a view that multifaceted strategies are required to encourage participation, community-based solutions were suggested that centred on improving screening culture and education. CONCLUSIONS:There was a view among participants that general practice could play a useful role in supporting the uptake of the National Bowel Cancer Screening Program, however participants saw a need for multiple strategies at different levels and under different jurisdictions.

SUBMITTER: Brown L

PROVIDER: S-EPMC7239547 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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Patients' views on involving general practice in bowel cancer screening: a South Australian focus group study.

Brown Lynsey L Moretti Cecilia C Roeger Leigh L Reed Richard R

BMJ open 20200518 5

<h4>Objectives</h4>To explore patients' experiences of bowel cancer screening and its promotion, and perspectives on possible input from general practice for improving screening rates.<h4>Design</h4>Qualitative focus group study underpinned by a phenomenological approach.<h4>Setting</h4>Three general practice clinics in metropolitan South Australia.<h4>Participants</h4>Thirty active general practice patients, aged 50-74 years (60% female) who were eligible for the National Bowel Cancer Screening ...[more]

PMID: 32430451

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Project description:ObjectiveTo identify threshold concepts (TCs) for physicians undergoing postgraduate medical education (PGME) in general practice.DesignAn explorative, qualitative study with 65 min focus group interviews and thematic analysis was used. Participants were asked to describe their most transformative learning experiences. Heuristical TCs were identified from the thematic analysis.SettingAotearoa/New Zealand (A/NZ).ParticipantsFifty participants, mostly comprising current trainees and educators from urban centres, and of NZ/European ethnicity.ResultsTwenty TCs covering many aspects of postgraduate general practice experience were derived from themes identified in the data. Presented in medical proverbial form for ease of recollection, these included: Money makes the practice go round; Be a legal eagle; Manage time or it will manage you; Guidelines, GPs' little helpers; Right tool, right word, right place; The whole of the practice is greater than the sum of the parts; The personal enhances the professional; Beat biases by reflection; Chew the Complexity, Unpredictability, Diversity; Embrace the uncertainty; Not knowing is knowing; Seek and you shall find; Waiting and seeing, waiting and being; Look, listen, think between the lines; Treat the patient beyond the disease; No patient is an island; Words work wonders; Hearing is healing; Being you and being there; and; The relationship is worth a thousand consults. These TCs mapped onto core competencies in A/NZ's PGME in general practice curriculum.ConclusionsParticipants readily identified transformative and troublesome moments in their PGME in general practice. These findings confirmed evidence for a wide range of TCs with many newly identified in this study. All TCs were fundamentally based on the doctor-patient relationship, although often involving the context and culture of general practice. Actively incorporating and teaching these identified TCs in PGME in general practice may enable trainees to grasp these important learning thresholds earlier and more easily and aid in identity and role formation.

Dataset Information

Patients' views on involving general practice in bowel cancer screening: a South Australian focus group study.

Publications

Patients' views on involving general practice in bowel cancer screening: a South Australian focus group study.

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