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A factorial study of GP decision-making delivered through a web-based multimedia application
We are seeking to understand how GPs make decisions about which patients with symptoms of lung cancer they refer for further investigation. We will also examine the extent to which their decisions vary depending on patient or general practice characteristics. We will employ an innovative method to study GP behaviour. A sample of GPs will be asked to conduct six ‘consultations’ with simulated patients, which will be delivered through an interactive website. A ‘consultation’ will involve first watching a short video of a patient actor reporting a symptom that might indicate lung cancer, and then seeking further information about the patient by typing in questions, or selecting ‘patient note’ options. At the end of the ‘consultation’, GPs will record their management decisions. The entire ‘consultation’ will take place on the website; GPs will participate in the study on the computer in their consulting rooms during their working day, over three sessions. After six ‘consultations’ all GPs will complete a short survey on the reasons behind their decisions. The findings for this study are intended to inform interventions to help GPs in making decisions when patients present with symptoms that may indicate lung cancer.
1 Researchers
1 External Collaborators
  • Professor Stephen Duffy
    Queen Mary, University of London - United Kingdom
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