3.1.8 Establishing effectiveness of the tools
Service users felt that the use of QCancer in patient consultations
should be evaluated for effectiveness before allowing all practitioners
to use them:
“But I think if you are going to roll something out rather than
going to everybody I would start with the doctors, see how the doctors
do with it after evaluation and then move on to the practice nurses”(Service User 12: individual interview).
Practitioners also felt that evaluating the tools would help them to
compare the effectiveness of the tools with current practice:
“We have to make sure that it is better than what we are already
doing” (Practitioner 13 [GP]: FG 2).
3.1.9 Need to integrate
the tool into general practice IT system
Practitioners were concerned about the lack of integration of the tool
in their practice systems. They felt the tool needed to be integrated
into practice information technology (IT) systems to avoid the difficult
task of searching for a tool from the internet for each patient being
assessed for cancer risk:
“It will not be easy downloading or Googling the tool during
patient consultation. So, the tool needs to be integrated into our
practice IT systems” (Practitioner 2 [GP]: FGD 3).
The facilitators to implementation of QCancer which related to the CFIR
construct of relative advantage10 were: supporting
clinical decision making; modifying patient health behaviours; improving
processes and speed of cancer assessment and treatment and personalising
patient care.