目的:确定加泰罗尼亚公共卫生系统中卵巢癌(OC)诊断的错失机会,通过分析卫生专业人员对OC患者故事经历的看法。
方法:定性探索性描述性研究,有两个焦点小组。
方法:初级保健,2017年11月。
方法:基于理论抽样的34名专业人员:21名家庭医生,来自性健康和生殖健康中心的8名专业人员和5名医院妇科医生。
方法:参与者通过介绍OC患者的三个故事和经验的流程图,讨论了OC女性的不同诊断途径。
结果:确定了以下三个具有不同子主题的主题:a)缺乏癌症诊断怀疑(缺乏对OC症状的了解,回忆和体检被忽视,患者护理的碎片化、偏见和偏见);b)激活诊断过程的困难(有限的测试机会,妇科可及性不平等,缺乏随访);c)缺乏快速转诊系统。
结论:这些结果为我们提供了对早期诊断OC的困难的见解。我们相信,他们的识别将有助于制定策略,以提高在我们的环境中患有OC的女性的诊断准确性和护理质量。
To identify missed opportunities in the diagnosis of ovarian cancer (OC) in the public health system of Catalonia, through the analysis of the perceptions of health professionals on the stories\'s experiences of OC patients.
Qualitative exploratory-descriptive study, with two focus groups.
Primary Care, November 2017.
Thirty-four professionals based on theoretical sampling: 21 family doctors, 8 professionals from sexual and reproductive health centres and 5 hospital gynaecologists.
Participants discussed the different diagnostic pathways for women with OC through the presentation of flowcharts which were developed with three storie\'s and experiences of OC patients.
Three themes with various sub-themes were identified as follow: a)lack of cancer diagnostic suspicion (lack of knowledge of symptoms of OC, anamnesis and physical examination overlooked, fragmentation of patient\'s care and bias and prejudice); b)difficulties in activating the diagnostic process (limited access to tests, unequal accessibility to gynaecology and lack of follow-up); and c)absence of fast-track referral system.
The results offer insight into the difficulties of early diagnosis of OC in our setting. We believe that their identification will allow the development of strategies to improve diagnostic accuracy and quality of care for women with OC in our setting.