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Research

Patient and practitioner views on cancer risk discussions in primary care: a qualitative study

David N Blane, Sara MacDonald and Catherine A O'Donnell
BJGP Open 2022; 6 (1): BJGPO.2021.0108. DOI: https://doi.org/10.3399/BJGPO.2021.0108
David N Blane
1 General Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
BSc, MBChB, MRCGP, MPH, PhD
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  • ORCID record for David N Blane
  • For correspondence: david.blane@glasgow.ac.uk
Sara MacDonald
1 General Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
BA, PhD
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  • ORCID record for Sara MacDonald
Catherine A O'Donnell
1 General Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
BSc, PhD, MPH, FRCGP
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    Figure 1. Screenshots of cancer risk tool19

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    Table 1. Sampling frame of patients (in italics) and practitioners (in bold)
    Practice list sizePractice deprivation status (percentage of patients living in 15% most deprived SIMD postcodes)
    Low (<15%)Medium (15%–40%)High (>40%)
    Small (<4000 patients) PNF3 GPM3 PNF4
    Medium (4000–8000 patients)  GPM1, PNF2, F3, F4 GPF2, PNF1, M2, M3, F2, M8
    Large (>8000 patients) GPF1, F5, M6, M7   GPM2, M1, F1, M4, M5
    • SIMD = Scottish Index of Multiple Deprivation.

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    Table 2. Topic guide areas for patients and practitioners
    PatientsPractitioners
    Previous cancer risk discussionsPrevious cancer risk discussions
    Previous support for behaviour changeRole of primary care
    Risk perceptionViews on the risk tool (using screenshots and examples)
    Views on the risk tool (using screenshots and examples)Approach to supporting behaviour change
    Role of primary careRisk perception
    Strategies to improve cancer preventionStrategies to improve cancer prevention
    • View popup
    Table 3. Practitioner characteristics
    Participant IDAge range, yearsPractice list sizePractice deprivation status (percentage of patients living in 15% most deprived SIMD postcodes)
    GPM150–60Medium (4000–8000 patients)Medium (15–40%)
    GPM250–60Large (>8000 patients)High (>40%)
    GPM350–60Small (<4000 patients)Medium (15–40%)
    GPF150–60Large (>8000 patients)Low (<15%)
    GPF250–60Medium (4000–8000 patients)High (>40%)
    PNF150–60Medium (4000–8000 patients)High (>40%)
    PNF250–60Medium (4000–8000 patients)Medium (15–40%)
    PNF350–60Small (<4000 patients)Low (<15%)
    PNF450–60Small (<4000 patients)High (>40%)
    • SIMD = Scottish Index of Multiple Deprivation.

    • View popup
    Table 4. Patient characteristics
    Participant IDAge range, yearsPostcode deprivation (SIMD decile)Health behavioursComorbidities
    M150–60SIMD2Used to smoke, obesity, physical inactivity, poor dietHypertension
    M250–60SIMD3Used to smoke, obesity, poor dietIHD, T2DM, sciatica
    M340–49SIMD1Smokes, obesityT2DM, OA, depression
    M450–60SIMD4Obesity, physical inactivityT2DM, hypertension, sciatica
    M540–49SIMD1Smokes, occasional alcohol, obesity, poor dietTIAs, hypertension, back pain
    M650–60SIMD8Obesity, occasional alcoholIHD, T2DM
    M750–60SIMD5Smokes, obesity, physical inactivity, poor dietT2DM, hypertension
    M850–60SIMD1Smokes shisha pipe, obesityHypertension
    F150–60SIMD1Used to smoke, obesityIHD, T2DM, TIA, depression
    F240–49SIMD4Smokes, excess alcohol, obesity, poor dietT2DM, hypertension, depression
    F350–60SIMD7ObesityT2DM, hypertension
    F450–60SIMD9Obesity, physical inactivityT1DM, hypertension, hypothyroid
    F550–60SIMD6ObesityHypertension, pre-diabetes
    • IHD = ischaemic heart disease. OA = osteoarthritis. SIMD = Scottish Index of Multiple Deprivation. T1DM = type one diabetes mellitus. T2DM = type two diabetes mellitus. TIA = transient ischaemic attack.

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Patient and practitioner views on cancer risk discussions in primary care: a qualitative study
David N Blane, Sara MacDonald, Catherine A O'Donnell
BJGP Open 2022; 6 (1): BJGPO.2021.0108. DOI: 10.3399/BJGPO.2021.0108

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Patient and practitioner views on cancer risk discussions in primary care: a qualitative study
David N Blane, Sara MacDonald, Catherine A O'Donnell
BJGP Open 2022; 6 (1): BJGPO.2021.0108. DOI: 10.3399/BJGPO.2021.0108
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Keywords

  • neoplasms
  • prevention
  • Qualitative research
  • general practice
  • socioeconomic status
  • disparities

More in this TOC Section

  • Podcasting in primary care: attitudes of Scottish GP specialty trainees and trainers towards podcast-based education in primary care
  • Patient perceptions of relational continuity in England: insights from two cross-sectional surveys
  • COVID-19 and patient-reported experience of general practice in England
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