• Atencion primaria · Jun 2023

    [Health professionals' perspective about women's experiences during the diagnostic process of ovarian cancer in Catalonia: Qualitative study].

    • Mercè Marzo-Castillejo, Carmen Vela-Vallespín, Mascort RocaJuanjoJCAP Florida Sud, Institut Català de la Salut (ICS), Hospitalet de Llobregat, Barcelona; Departament de Ciències Clíniques, Facultat de Medicina, Universitat de Barcelona, Barcelona, España., Carolina Guiriguet Capdevila, Núria Codern-Bové, and Josep M Borras.
    • Unitat Suport a la Recerca Metropolitana Sud, Institut Català de la Salut (ICS); Institut d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Hospitalet de Llobregat, Barcelona, España. Electronic address: mmarzoc@gencat.cat.
    • Aten Primaria. 2023 Jun 1; 55 (6): 102619102619.

    ObjectiveTo 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.DesignQualitative exploratory-descriptive study, with two focus groups.SettingPrimary Care, November 2017.ParticipantsThirty-four professionals based on theoretical sampling: 21 family doctors, 8 professionals from sexual and reproductive health centres and 5 hospital gynaecologists.MethodsParticipants 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.ResultsThree 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.ConclusionsThe 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.Copyright © 2023 The Author(s). Publicado por Elsevier España, S.L.U. All rights reserved.

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