1 |
Ten-minute appointments or ‘one symptom per appointment’ are not sufficient to share subtle, intermittent changes or symptoms, and can lead to selective or limited disclosure. |
2 |
Vague symptoms need thorough exploration by family doctors. Take a good history from family and friends if not forthcoming from the patient as patients may not notice all the symptoms themselves. |
3 |
Improve how patients present their symptoms in the consultation (for example, encourage patients to bring written lists of symptoms, track multiple symptoms, and voice any concerns). |
4 |
Aim at continuity of care so that GPs can have increased awareness of symptom changes over time. |
5 |
Encourage follow-up appointments by making them before a patient leaves the surgery or giving a time limit for symptoms to resolve. |
6 |
Empower patients to return if they think something is wrong or if they are unhappy with the plan. |
7 |
Identify patients with repeated consultations with vague symptoms and have lower threshold for referral based on GP intuition. |
8 |
When ordering investigations, most patients would rather be told that cancer is a differential diagnosis. |