scholarly journals Symptom perceptions and help-seeking behaviour prior to lung and colorectal cancer diagnoses: a qualitative study

2015 ◽  
Vol 32 (5) ◽  
pp. 568-577 ◽  
Author(s):  
Sarah McLachlan ◽  
Gemma Mansell ◽  
Tom Sanders ◽  
Sarah Yardley ◽  
Daniëlle van der Windt ◽  
...  
2017 ◽  
Vol 67 (658) ◽  
pp. e361-e369 ◽  
Author(s):  
Matthias Michiels-Corsten ◽  
Stefan Bösner ◽  
Norbert Donner-Banzhoff

BackgroundOne of the tenets of general practice is that continuity of care has a beneficial effect on patient care. However, little is known about how continuity can have an impact on the diagnostic reasoning of GPs.AimTo explore GPs’ diagnostic strategies by examining GPs’ reflections on their patients’ individual thresholds for seeking medical attention, how they arrive at their estimations, and which conclusions they draw.Design and settingQualitative study with 12 GPs in urban and rural practices in Germany.MethodAfter each patient consultation GPs were asked to reflect on their diagnostic reasoning for that particular case. Qualitative and quantitative analyses of consultations and interview content were undertaken.ResultsA total of 295 primary care consultations were recorded, 134 of which contained at least one diagnostic episode. When elaborating on known patients, GPs frequently commented on how ‘early’ or ‘late’ in an illness progression a patient tended to consult. The probability of serious disease was accordingly regarded as high or low. This influenced GPs’ behaviour regarding further investigations or referrals, as well as reassurance and watchful waiting. GPs’ explanations for a patient’s utilisation threshold comprised medical history, the patient’s characteristics, family background, the media, and external circumstances.ConclusionThe concept of an individual threshold for the utilisation of primary care would explain how GPs use their knowledge of individual patients and their previous help-seeking behaviour for their diagnostic decision making. Whether the assumption behind this concept is valid, and whether its use improves diagnostic accuracy, remains to be investigated.


2014 ◽  
Vol 25 (1) ◽  
pp. 27-37 ◽  
Author(s):  
D.V. Oberoi ◽  
M. Jiwa ◽  
A. McManus ◽  
R. Hodder ◽  
J. de Nooijer

2018 ◽  
Vol 28 (3) ◽  
pp. 92-103
Author(s):  
Maha Aon ◽  
Harold Sungusia ◽  
Marie Brasholt ◽  
Brenda Van Den Bergh ◽  
Jens Modvig

Introduction: No published research has been found on torture in Tanzania, but individual cases were documented by human rights organisations. The aim of this study was to explore the salient physical, mental and social effects of torture in the country, and help-seeking behaviour by giving voice to a group of torture survivors in Dar-es-Salaam and Zanzibar City (Zanzibar). Methods: This explorative qualitative study consisted of 14 semi-structured in-depth interviews (12 males, 2 females) of which eight took place in Dar-es-Salaam and six in Zanzibar. Informants were selected purposefully through a mix of snowball and convenience sampling. Both the Standards for Reporting Qualitative Research (SRQR) and the Consolidated Criteria for Reporting Qualitative Research (COREQ) were followed. Results: Using the UNCAT definition of torture, all informants reported having been tortured within the past two years. The most common form of torture was beating with clubs to the joints. Other torture included, but was not limited to, gun shot, toenail removal and ‘poulet roti’. The most common physical consequence was persistent pain. Psychological consequences included suicidal ideation and sleep problems. Most interviewees lost their jobs as a result of the torture incident, instigating a cascade of financial and social problems. Conclusion: The findings present informants’ exposure to deliberate torture at the hands of public authorities. Informants confirmed their exposure to torture methods that had been previously reported by nongovernmental organisations. They also talked about exposure to more advanced, and previously undocumented, torture methods. Informants displayed a dire need for mental and physical health care, but had limited access to such care. Research is needed to better understand the magnitude, prevalence and context of torture in Tanzania.


2008 ◽  
Vol 4 (3) ◽  
pp. 146-155 ◽  
Author(s):  
Jean‐Marc Feron ◽  
Lac Hong Nguyen Tan ◽  
Dominique Pestiaux ◽  
Vincent Lorant

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