Letters
Systems approach for early diagnosis of cancer
Authors’ reply to Wulaningsih and Dixon and colleagues
BMJ 2023; 380 doi: https://doi.org/10.1136/bmj.p706 (Published 30 March 2023) Cite this as: BMJ 2023;380:p706
- Georgia B Black, reader in applied health research1,
- Georgios Lyratzopoulos, professor of cancer epidemiology2,
- Charles A Vincent, professor of psychology3,
- Naomi J Fulop, professor of healthcare organisation and management4,
- Brian D Nicholson, academic clinical lecturer in general practice5
- 1Wolfson Institute of Population Health, Queen Mary’s University London, London, UK
- 2ECHO (Epidemiology of Cancer Healthcare and Outcomes), Department of Behavioural Science and Health, University College London, UK
- 3Department of Experimental Psychology, University of Oxford, Oxford, UK
- 4Department of Applied Health Research, University College London, London, UK
- 5Nuffield Department of Primary Care Health Sciences, University of Oxford, UK
- g.black{at}qmul.ac.uk
Our article highlighted the limitations of interventions that focus on only one aspect of the diagnostic process (the consultation) and outlined the value of a systems approach.1
For clarification, we do not imply poor performance on the part of GPs. Rather, we think that the expectations placed on GPs to detect cancer in primary care are unreasonably high, and decisions about referral often have to be made with incomplete information. We …
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