Show simple item record

dc.contributor.authorJiwa, Moyez
dc.contributor.authorHalkett, Georgia
dc.contributor.authorAoun, Samar
dc.contributor.authorArnet, Hayley
dc.contributor.authorSmith, Marthe
dc.contributor.authorPilkington, M.
dc.contributor.authorMcMullen, C.
dc.identifier.citationJiwa, M. and Halkett, G. and Aoun, S. and Arnet, H. and Smith, M. and Pilkington, M. and McMullen, C. 2007. Factors influencing the speed of cancer diagnosis in rural Western Australia: A General Practice perspective. BMC Family Practice. 8 (27).

Introduction. The speed of diagnosis impacts on prognosis and survival in all types of cancer. In most cases survival and prognosis are significantly worse in rural and remote Australian populations who have less access to diagnostic and therapeutic services than metropolitan communities in this country. Research suggests that in general delays in diagnosis were a factor of misdiagnosis, the confounding effect of existing conditions and delayed or misleading investigation of symptoms. The aim of this study is to further explore the factors that impact on the speed of diagnosis in rural Western Australia with direct reference to General Practitioners (GPs) working in this setting.

Methods. The methodology consisted of a structured discussion of specific cases. GPs based in two rural locations in Western Australia were asked to identify up to eight clinical cases for discussion. A diversity of cases was requested encompassing those with timely and delayed diagnosis of cancer. Focus groups were held with the practitioners to identify which factors under six headings delayed or facilitated the diagnosis in each case. A structured summary of the discussion was relayed to a wider group of GPs to seek additional views or comments on specific factors that impact on the speed of cancer diagnosis in rural and remote locations in Australia.

Results. A number of factors affecting the speed of diagnosis were identified: the demographic shift towards a frailer and older population, presenting with multiple and complex diseases, increases the challenge to identify early cancer symptoms; seasonal and demanding work patterns leading to procrastination in presenting for medical care; unhelpful scheduling of specialist appointments; and the varying impact of informal networks and social relationships.

Conclusion. Within the limitations of this study we have generated a number of hypotheses that require formal evaluation: (1) GPs working within informal professional and social networks are better informed about their patients' health needs and have an advantage in making early diagnosis; (2) Despite the other differences in the population characteristics decentralising services would improve the prospect for timely diagnosis; and (3) Careful coordination of specialist appointments would improve the speed of diagnosis for rural patients. © 2007 Jiwa et al; licensee BioMed Central Ltd.

dc.publisherBioMed Central Ltd.
dc.subjectScience & Technology
dc.subjectLife Sciences & Biomedicine
dc.subjectPrimary Health Care
dc.subjectMedicine, General & Internal
dc.subjectGeneral & Internal Medicine
dc.titleFactors influencing the speed of cancer diagnosis in rural Western Australia: A General Practice perspective
dc.typeJournal Article
dcterms.source.titleBMC Family Practice
dcterms.source.placeUnited Kingdom

© The Author(s). 2007 Published in BMC Family Practice. This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons Attribution License Please refer to the licence to obtain terms for any further reuse or distribution of this work.

curtin.departmentSchool of Biomedical Sciences
curtin.departmentCurtin School of Nursing
curtin.departmentSchool of Nursing, Midwifery and Paramedicine
curtin.departmentWA Centre for Cancer and Palliative Care
curtin.departmentFaculty of Health Sciences
curtin.accessStatusOpen access
curtin.facultyFaculty of Health Sciences
curtin.contributor.orcidHalkett, Georgia [0000-0003-4065-4044]
curtin.identifier.article-numberARTN 27
curtin.contributor.scopusauthoridHalkett, Georgia [8909188900]
curtin.contributor.scopusauthoridAoun, Samar [35551329400]

Files in this item


This item appears in the following Collection(s)

Show simple item record
Except where otherwise noted, this item's license is described as