title: The interface of primary and oncology specialty care: from symptoms to diagnosis.
abstract: Symptomatic individuals presenting to their primary care providers may need further evaluation and/or testing to determine whether a cancer is present. A number of issues arise in determining who needs further testing, what tests are needed, which specialists need to be involved, and how the testing can be organized and supported within a specific health-care system within a timely, coordinated, and cost-efficient manner. This article explores the challenges in the interface of primary care providers and specialists, includes evidence from prior research, and proposes research opportunities to understand and improve this phase of care.
authors.affiliation: Department of Population Medicine, Harvard Medical School, 133 Brookline Ave, 6th Floor, Boston, MA 02215, USA. larissa_nekhlyudov@vmed.org
authors.forename: Larissa
authors.initials: L
authors.lastname: Nekhlyudov
authors.forename: Steven
authors.initials: S
authors.lastname: Latosinsky
mesh_terms: D001291:Attitude of Health Personnel; D057210:Delayed Diagnosis / Q000517:prevention & control; D003695:Delivery of Health Care; D019468:Disease Management; D055088:Early Detection of Cancer; D005260:Female; D005544:Forecasting; D019983:Guideline Adherence; D006302:Health Services Research; D006801:Humans; D033183:Interdisciplinary Communication; D007400:Interprofessional Relations; D008297:Male; D008495:Medical Oncology; D008962:Models, Theoretical; D009369:Neoplasms / Q000175:diagnosis* / Q000523:psychology; D010346:Patient Care Management; D010817:Physician-Patient Relations; D017410:Practice Guidelines as Topic; D011320:Primary Health Care
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