Author Archives: Silvia Mendonca

What explains variations between GP practices in endoscopy activity and urgent referral for suspected cancer? What can we learn from measures of patient experience?

Appropriately suspecting the diagnosis of cancer in primary care is important, but it is also hard. In this work, we looked into some of the factors that that may (or may not) influence decisions about referrals and endoscopic investigations. In our paper just published in the BJGP (British Journal of General Practice), we looked at …read more

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Process or Outcomes for Quality Measurement?

Whether quality measurement should focus on process or outcomes measures is a perennial dilemma for health policy and health services researchers. Our recent research provides new insights to this old age dilemma. How promptly cancer patients are diagnosed is a prevailing concern for UK population health and healthcare policy. This has led the development of …read more

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Which cancers are more difficult to suspect in primary care?

Back in 2012 members of our team reported the proportion of multiple (three or more) pre-referral consultations for 24 cancer diagnoses (1). This previous work provided evidence of the variability in the diagnostic difficulty of different cancers in primary care, reflecting the cancer’s ‘symptom signature’. This work used patient self-reported data from one year of …read more

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Timely diagnosis of cancer matters for patient experience

In our recent paper we studied how pre-diagnosis experience affects subsequent care experience in cancer patients (1). Our findings suggest that patients who experienced more pre-referral consultations in primary care are more likely to be less satisfied with their care. As perhaps could have been expected, the associations found were stronger for questions involving primary care …read more

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