Are the serious problems in cancer survival partly rooted in gatekeeper principles? An ecologic study
It is puzzling to note that British and Danish citizens have a poorer cancer prognosis than citizens from other countries, and this study hypothesises that their low cancer survival could be partly rooted in the gatekeeper function undertaken by general practice in these two countries. To test the a...
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| Veröffentlicht in: | British journal of general practice 2011-08, Vol.61 (589), p.e508-e512 |
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| container_title | British journal of general practice |
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| creator | Vedsted, Peter Olesen, Frede |
| description | It is puzzling to note that British and Danish citizens have a poorer cancer prognosis than citizens from other countries, and this study hypothesises that their low cancer survival could be partly rooted in the gatekeeper function undertaken by general practice in these two countries.
To test the association between principles of gatekeeper systems and cancer survival.
An ecologic study with data from EUROCARE-4 and primary care structure.
This hypothesis was tested in an ecologic study on the association between three principles of gatekeeper systems and cancer survival in 19 European countries for which valid and full data were available.
It was found that healthcare systems with a gatekeeper system do have a significantly lower 1-year relative cancer survival than systems without such gatekeeper functions.
The possible mechanisms behind this finding are discussed, and while all the positive aspects of gatekeeping are recognised, it is strongly recommended that further research be conducted to confirm or reject the study hypothesis on this possible serious adverse effect of gatekeeping. |
| doi_str_mv | 10.3399/bjgp11X588484 |
| format | Article |
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To test the association between principles of gatekeeper systems and cancer survival.
An ecologic study with data from EUROCARE-4 and primary care structure.
This hypothesis was tested in an ecologic study on the association between three principles of gatekeeper systems and cancer survival in 19 European countries for which valid and full data were available.
It was found that healthcare systems with a gatekeeper system do have a significantly lower 1-year relative cancer survival than systems without such gatekeeper functions.
The possible mechanisms behind this finding are discussed, and while all the positive aspects of gatekeeping are recognised, it is strongly recommended that further research be conducted to confirm or reject the study hypothesis on this possible serious adverse effect of gatekeeping.</description><identifier>ISSN: 0960-1643</identifier><identifier>EISSN: 1478-5242</identifier><identifier>DOI: 10.3399/bjgp11X588484</identifier><identifier>PMID: 21801563</identifier><language>eng</language><publisher>England: Royal College of General Practitioners</publisher><subject>Early Detection of Cancer - mortality ; Europe - epidemiology ; Gatekeeping - statistics & numerical data ; Humans ; Neoplasms - diagnosis ; Neoplasms - mortality ; Prognosis ; Survival Analysis ; Survival Rate ; Waiting Lists</subject><ispartof>British journal of general practice, 2011-08, Vol.61 (589), p.e508-e512</ispartof><rights>British Journal of General Practice 2011 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3014-95b612bf5af69093510ceab9cb12545e43c81f0880440d4c94ff19e97f73d5223</citedby><cites>FETCH-LOGICAL-c3014-95b612bf5af69093510ceab9cb12545e43c81f0880440d4c94ff19e97f73d5223</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3145535/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3145535/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21801563$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vedsted, Peter</creatorcontrib><creatorcontrib>Olesen, Frede</creatorcontrib><title>Are the serious problems in cancer survival partly rooted in gatekeeper principles? An ecologic study</title><title>British journal of general practice</title><addtitle>Br J Gen Pract</addtitle><description>It is puzzling to note that British and Danish citizens have a poorer cancer prognosis than citizens from other countries, and this study hypothesises that their low cancer survival could be partly rooted in the gatekeeper function undertaken by general practice in these two countries.
To test the association between principles of gatekeeper systems and cancer survival.
An ecologic study with data from EUROCARE-4 and primary care structure.
This hypothesis was tested in an ecologic study on the association between three principles of gatekeeper systems and cancer survival in 19 European countries for which valid and full data were available.
It was found that healthcare systems with a gatekeeper system do have a significantly lower 1-year relative cancer survival than systems without such gatekeeper functions.
The possible mechanisms behind this finding are discussed, and while all the positive aspects of gatekeeping are recognised, it is strongly recommended that further research be conducted to confirm or reject the study hypothesis on this possible serious adverse effect of gatekeeping.</description><subject>Early Detection of Cancer - mortality</subject><subject>Europe - epidemiology</subject><subject>Gatekeeping - statistics & numerical data</subject><subject>Humans</subject><subject>Neoplasms - diagnosis</subject><subject>Neoplasms - mortality</subject><subject>Prognosis</subject><subject>Survival Analysis</subject><subject>Survival Rate</subject><subject>Waiting Lists</subject><issn>0960-1643</issn><issn>1478-5242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkUtP5DAQhC3ECobHkSvyjVNYtx9JfAGNRsCuhLSXXWlvluN0BoMnDnYy0vx7gngITn2oT1WlLkLOgF0KofXP5nE9APxXdS1ruUcWIKu6UFzyfbJgumQFlFIckqOcHxnjvAR2QA451AxUKRYElwnp-IA0Y_JxynRIsQm4ydT31NneYaJ5Slu_tYEONo1hR1OMI7avwNqO-IQ4zNCQfO_8EDBf02VP0cUQ197RPE7t7oT86GzIePp-j8m_25u_q1_F_Z-736vlfeEEA1lo1ZTAm07ZrtRMCwXMoW20a4ArqVAKV0PH6ppJyVrptOw60KirrhKt4lwck6s332FqNtg67Mdkg5m7bWzamWi9-a70_sGs49YIkEoJNRtcvBuk-DxhHs3GZ4ch2B7n75g5uoKy4uVMFm-kSzHnhN1nCjDzuoz5tszMn3-t9kl_TCFeABA3jCQ</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>Vedsted, Peter</creator><creator>Olesen, Frede</creator><general>Royal College of General Practitioners</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110801</creationdate><title>Are the serious problems in cancer survival partly rooted in gatekeeper principles? An ecologic study</title><author>Vedsted, Peter ; Olesen, Frede</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3014-95b612bf5af69093510ceab9cb12545e43c81f0880440d4c94ff19e97f73d5223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Early Detection of Cancer - mortality</topic><topic>Europe - epidemiology</topic><topic>Gatekeeping - statistics & numerical data</topic><topic>Humans</topic><topic>Neoplasms - diagnosis</topic><topic>Neoplasms - mortality</topic><topic>Prognosis</topic><topic>Survival Analysis</topic><topic>Survival Rate</topic><topic>Waiting Lists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vedsted, Peter</creatorcontrib><creatorcontrib>Olesen, Frede</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of general practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vedsted, Peter</au><au>Olesen, Frede</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Are the serious problems in cancer survival partly rooted in gatekeeper principles? An ecologic study</atitle><jtitle>British journal of general practice</jtitle><addtitle>Br J Gen Pract</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>61</volume><issue>589</issue><spage>e508</spage><epage>e512</epage><pages>e508-e512</pages><issn>0960-1643</issn><eissn>1478-5242</eissn><abstract>It is puzzling to note that British and Danish citizens have a poorer cancer prognosis than citizens from other countries, and this study hypothesises that their low cancer survival could be partly rooted in the gatekeeper function undertaken by general practice in these two countries.
To test the association between principles of gatekeeper systems and cancer survival.
An ecologic study with data from EUROCARE-4 and primary care structure.
This hypothesis was tested in an ecologic study on the association between three principles of gatekeeper systems and cancer survival in 19 European countries for which valid and full data were available.
It was found that healthcare systems with a gatekeeper system do have a significantly lower 1-year relative cancer survival than systems without such gatekeeper functions.
The possible mechanisms behind this finding are discussed, and while all the positive aspects of gatekeeping are recognised, it is strongly recommended that further research be conducted to confirm or reject the study hypothesis on this possible serious adverse effect of gatekeeping.</abstract><cop>England</cop><pub>Royal College of General Practitioners</pub><pmid>21801563</pmid><doi>10.3399/bjgp11X588484</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of general practice, 2011-08, Vol.61 (589), p.e508-e512 |
| issn | 0960-1643 1478-5242 |
| language | eng |
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| source | MEDLINE; PubMed Central; Alma/SFX Local Collection |
| subjects | Early Detection of Cancer - mortality Europe - epidemiology Gatekeeping - statistics & numerical data Humans Neoplasms - diagnosis Neoplasms - mortality Prognosis Survival Analysis Survival Rate Waiting Lists |
| title | Are the serious problems in cancer survival partly rooted in gatekeeper principles? An ecologic study |
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