An Exploratory Study of Primary Care Clinicians' Perspectives on 2021 New and Updated Cancer Screening Guidelines.
An Exploratory Study of Primary Care Clinicians' Perspectives on 2021 New and Updated Cancer Screening Guidelines.
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DOI：
10.1177/21501319231164910
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发表时间：
2023-01
影响因子：
3.6
通讯作者：
Carney, Patricia A.
中科院分区：
文献类型：
--
作者：
Angier, Heather;Bonuck, Kathryn J.;McCrimmon, Sara;Wiser, Amy L.;Huguet, Nathalie;Carney, Patricia A.
在农村、种族和少数民族、低收入和未参保人群中，癌症筛查率仍然很低。先前的研究表明，癌症筛查建议根据临床医生的因素而有所不同。我们根据临床医生的人口统计数据，对初级保健临床医生对新的或更新的癌症筛查指南的信念进行了一项探索性研究。这项横断面研究包括在2021年7月和8月对在太平洋西北部属于同一卫生系统的不同门诊环境中执业的初级保健临床医生进行一项基于网络的调查。这项调查评估了临床医生的人口统计数据，对癌症筛查对死亡率的影响的态度，以及临床医生如何保持对指南的更新。在191名临床医生中，81人回答(42.4%)，剔除13份不完整的调查后，我们分析了68人(35.6%)。大多数人同意/强烈同意乳腺癌(76.1%)、结直肠癌(95.5%)和宫颈癌(90.9%)筛查，以及接种HPV疫苗(85.1%)可以预防早期癌症死亡：在临床医生性别或执业年限方面没有差异。与男性相比，女性临床医生更有可能同意/强烈同意戒烟(女性：100%比男性：86.4%，P = .01)可以预防早期癌症死亡，而与女性相比，男性临床医生更有可能同意/强烈同意肺癌筛查(男性：86.4%比女性：57.8%，P = .04)可以预防早期癌症死亡。三分之一(33.3%)的临床医生不知道2021年肺癌筛查的更新，女性比男性更有可能表示他们不知道这一变化(女性：43.2%对男性：13.6%，P = .02)。这项研究表明，在一些人群中，临床医生的态度不太可能是影响低癌症筛查率的主要因素，基于性别的信念几乎不存在差异，而不是基于多年的实践。
Cancer screening rates remain low in rural, racial and ethnic minority, low-income, and uninsured populations. Prior studies showed that cancer screening recommendations vary based on clinicians’ factors. We conducted an exploratory study on primary care clinicians’ beliefs about new or updated cancer screening guidelines according to clinician demographics. This cross-sectional study involved administering a web-based survey in July and August of 2021 to primary care clinicians practicing in diverse ambulatory settings in the Pacific Northwest belonging to the same health system. The survey assessed clinician demographics, attitudes about the impact of cancer screening on mortality, and how clinicians stay up-to-date with guidelines. Of the 191 clinicians, 81 responded (42.4%), after removing 13 incomplete surveys, we analyzed 68 (35.6%). The majority agreed/strongly agreed that breast (76.1%), colorectal (95.5%), and cervical (90.9%) cancer screening, and HPV vaccination (85.1%) prevent early cancer mortality: there were no differences according to clinician gender or years in practice. Female compared to male clinicians were more likely to agree/strongly agree that tobacco smoking cessation (female: 100% vs male: 86.4%, P = .01) prevents early cancer mortality, whereas male compared to female clinicians were more likely to agree/strongly agree that lung cancer screening (male: 86.4% vs female: 57.8%, P = .04) prevents early cancer mortality. One-third (33.3%) of clinicians were unaware of the 2021 update on lung cancer screening and females were more likely than males to say they did not know about this change (females: 43.2% vs males: 13.6%, P = .02). This study suggests that clinicians’ attitudes are not likely the primary factor affecting low cancer screening rates in some populations and that few differences exist in beliefs based on gender, and none based on years in practice.
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影响因子：
3
作者：
Han, Paul K. J.;Klabunde, Carrie N.;Taplin, Stephen H.
通讯作者：
Taplin, Stephen H.
预防性护理的临床和社区提供系统：集成框架。
影响因子：
5.5
作者：
Krist AH;Shenson D;Woolf SH;Bradley C;Liaw WR;Rothemich SF;Slonim A;Benson W;Anderson LA
通讯作者：
Anderson LA
影响因子：
6.2
作者：
Ersek, Jennifer L.;Eberth, Jan M.;Friedman, Daniela B.
通讯作者：
Friedman, Daniela B.
影响因子：
--
作者：
Henderson, Louise M;Marsh, Mary W;Rivera, M Patricia
通讯作者：
Rivera, M Patricia
DOI：
10.1177/1073274818806900
发表时间：
2018-01
期刊：
Cancer control : journal of the Moffitt Cancer Center
影响因子：
--
作者：
Khairy M;Duong DK;Shariff-Marco S;Cheng I;Jain J;Balakrishnan A;Liu L;Gupta A;Chandramouli R;Hsing A;Leung A;Singh B;Nair VS
通讯作者：
Nair VS