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GP EMPOWERMENT FOR EARLY CANCER DIAGNOSIS: A EUROPEAN MULTICENTRE DELPHI STUDY BY THE ÖRENÄS RESEARCH GROUP
Abstract
Abstract Body
How Empowerment Contributes to GP’s Health and Well-Being. What we Learned by a European Multicentre Delphi Study.
Previous studies have demonstrated a positive relationship between empowerment and job satisfaction. Moreover, the job satisfaction level is a vital factor concerning workers' health and is most strongly related to mental and psychological health conditions, such as burnout, self-esteem, depression, and anxiety.
This study examines the factors contributing to GPs' health and well-being by empowering them in their clinical practice. We focus on a European multicentre Delphi study conducted to identify the factors that affect GPs in making a timely diagnosis of cancer in their patients.
The Delphi process, which included three rounds, allowed us to construct an anonymous panel of geographically distant European GPs from 21 European countries-members of the Örenäs Research Group. Panellists assessed the clinical relevance in a Primary Health Care setting of each of the 52 factors we had given them using a 9-point Likert scale. Finally, 53 panellists (78%) of the 68 who took part in the first round completed all three Delphi rounds. The result was a list of 12 factors that satisfied the selection criteria at the end of the third round. The majority of the selected factors were related to communication with secondary health care, working conditions (workload, bureaucracy), and established healthcare procedures, such as rapid access pathways and screening programmes.
We expect that the outcomes of this study will identify priorities and specific actions to help increase GPs’ empowerment in their clinical practice and contribute to GPs' health and well-being primarily as a consequence of improved performance and greater job satisfaction.