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BMJ Open Is Committed to Open Peer Review. As Part of This Commitment We Make the Peer Review History of Every Article We Publish Publicly Available BMJ Open: first published as 10.1136/bmjopen-2019-035678 on 31 October 2020. Downloaded from BMJ Open is committed to open peer review. As part of this commitment we make the peer review history of every article we publish publicly available. When an article is published we post the peer reviewers’ comments and the authors’ responses online. We also post the versions of the paper that were used during peer review. These are the versions that the peer review comments apply to. The versions of the paper that follow are the versions that were submitted during the peer review process. They are not the versions of record or the final published versions. They should not be cited or distributed as the published version of this manuscript. BMJ Open is an open access journal and the full, final, typeset and author-corrected version of record of the manuscript is available on our site with no access controls, subscription charges or pay-per-view fees (http://bmjopen.bmj.com). If you have any questions on BMJ Open’s open peer review process please email [email protected] http://bmjopen.bmj.com/ on September 28, 2021 by guest. Protected copyright. BMJ Open BMJ Open: first published as 10.1136/bmjopen-2019-035678 on 31 October 2020. Downloaded from Primary care practitioner diagnostic action when the patient may have cancer: a vignette survey in 20 European countries ForJournal: peerBMJ Open review only Manuscript ID bmjopen-2019-035678 Article Type: Original research Date Submitted by the 20-Nov-2019 Author: Complete List of Authors: Harris, Michael; University of Bath, Department for Health; Universität Bern, Berner Institut für Hausarztmedizin (BIHAM) Brekke, Mette; University of Oslo, Department of General Practice and General Practice Research Unit Dinant, Geert-Jan; Maastricht University, Dept of General Practice Esteva, Magdalena; Gerencia Atencio Primaria de Mallorca, Unidad de Investigación Hoffman, Robert; Tel Aviv University, Department of Family Medicine Marzo, Mercè; Unitat de Suport a la Recerca Costa de Ponent, IDIAP Jordi Gol, Murchie, Peter; University of Aberdeen, Division of Applied Health Science Neves, Ana Luísa; Imperial College London, Centre for Health Policy; http://bmjopen.bmj.com/ University of Porto, Also CINTESIS (Centre for Health Technology and Services Research) and MEDCIDS (Department of Community Medicine, Information and Health Decision Sciences) Smyrnakis, Emmanouil; Aristotle University of Thessaloniki , Laboratory of Primary Health Care, General Practice and Health Services Research Vedsted, Peter; Research Unit for General Practice, University of Aarhus Aubin-Auger, Isabelle; Universite Paris Diderot UFR de Medecine, General Practice Azuri, Joseph; Tel Aviv University, Sackler Faculty of Medicine on September 28, 2021 by guest. 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Buczkowski, Krzysztof; Nicolaus Copernicus University, Department of Family Medicine Buono, Nicola; SNAMID, Family medicine Foreva, Gergana; Medical Center BROD Babić, Svjetlana ; Croatian Health Insurance Fund Jakob, Eva; Centro de Saúde Sarria, Primary Health Centre Koskela, Tuomas; Tampere University, Faculty of Medicine and Health Technology Petek, Davorina; Univerza v Ljubljani, Department of Family Medicine Ster, Marija Petek; Univ Ljubljana, Departmento of Family medicine Puia, Aida; Iuliu Hagieganu University of Medicine and Pharmacy Faculty of Medicine, Family Medicine Department Sawicka-Powierza, Jolanta; Uniwersytet Medyczny w Bialymstoku, Department of Family Medicine Streit, Sven; Institute of Primary Health Care BIHAM, Thulesius, Hans; Lund University, Department of Research and Development For peer review only - http://bmjopen.bmj.com/site/about/guidelines.xhtml Page 1 of 47 BMJ Open BMJ Open: first published as 10.1136/bmjopen-2019-035678 on 31 October 2020. Downloaded from 1 2 3 Weltermann, Birgitta; University of Bonn, Institut für Hausarztmedizin 4 Taylor, Gordon; University of Exeter, College of Medicine and Health 5 6 International health services < HEALTH SERVICES ADMINISTRATION & Keywords: 7 MANAGEMENT, Adult oncology < ONCOLOGY, PRIMARY CARE 8 9 10 11 12 13 14 15 16 For peer review only 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 http://bmjopen.bmj.com/ 34 35 36 37 38 39 40 41 on September 28, 2021 by guest. Protected copyright. 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 For peer review only - http://bmjopen.bmj.com/site/about/guidelines.xhtml BMJ Open Page 2 of 47 1 2 3 BMJ Open: first published as 10.1136/bmjopen-2019-035678 on 31 October 2020. 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Protected copyright. 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 For peer review only - http://bmjopen.bmj.com/site/about/guidelines.xhtml Page 3 of 47 BMJ Open 1 2 1 3 Primary care practitioner diagnostic action when the patient may have BMJ Open: first published as 10.1136/bmjopen-2019-035678 on 31 October 2020. Downloaded from 4 5 6 2 cancer: a vignette survey in 20 European countries 7 8 9 10 3 Authors 11 12 13 4 Michael Harris (corresponding author), Department for Health, University of Bath, Claverton 14 15 16 5 Down, Bath BA2 7AY, UK; telephone: +44 1761 241366; fax: none. Also: Institute of Primary 17 18 6 Health Care Bern (BIHAM),For Universitypeer of review Bern, Bern, Switzerland only 19 20 21 7 [email protected] 22 23 8 Mette Brekke, Department of General Practice and General Practice Research Unit, University 24 25 26 9 of Oslo, Oslo, Norway. [email protected] 27 28 29 10 Geert-Jan Dinant, Department of General Practice, Maastricht University, Maastricht, 30 31 11 Netherlands. [email protected] 32 33 34 12 Magdalena Esteva, Research Unit, Majorca Primary Health Care Department, Balearic Islands 35 36 13 Health Research Institute (IdISBa), Preventive Activities and Health Promotion Network, 37 http://bmjopen.bmj.com/ 38 14 Carlos III Institute of Health (RedIAPP-RETICS), Palma, Spain. [email protected] 39 40 41 15 Robert D. Hoffman, Department of Family Medicine, Tel Aviv University, Tel Aviv, Israel. 42 43 44 16 [email protected] 45 on September 28, 2021 by guest. Protected copyright. 46 17 Mercè Marzo-Castillejo, Unitat de Suport a la Recerca, IDIAP Jordi Gol, Institut Català de la 47 48 49 18 Salut, Barcelona, Spain. [email protected] 50 51 52 19 Peter Murchie, Division of Applied Health Sciences - Academic Primary Care, University of 53 54 20 Aberdeen, Aberdeen, UK. [email protected] 55 56 57 21 Ana Luísa Neves, Centre for Health Policy, Imperial College, London, UK. Also CINTESIS 58 59 22 (Centre for Health Technology and Services Research) and MEDCIDS (Department of 60 1 For peer review only - http://bmjopen.bmj.com/site/about/guidelines.xhtml BMJ Open Page 4 of 47 1 2 23 Community Medicine, Information and Health Decision Sciences), Faculty of Medicine, 3 BMJ Open: first published as 10.1136/bmjopen-2019-035678 on 31 October 2020. Downloaded from 4 24 University of Porto, Porto, Portugal [email protected] 5 6 7 25 Emmanouil Smyrnakis, Laboratory of Primary Health Care, General Practice and Health 8 9 26 Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece. 10 11 27 [email protected] 12 13 14 28 Peter Vedsted, The Research Unit for General Practice, Aarhus University, Aarhus, Denmark. 15 16 17 29 [email protected] 18 For peer review only 19 20 30 Isabelle Aubin-Auger, Department of General Practice, Université Paris Diderot, Paris, France. 21 22 31 [email protected] 23 24 25 32 Joseph Azuri, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
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