Colorectal cancer screening practices in Alabama: a survey of primary care physicians.
Colorectal cancer screening practices in Alabama: a survey of primary care physicians.
复制标题
阿拉巴马州的结直肠癌筛查实践：对初级保健医生的调查。
DOI：
10.1007/s13187-012-0392-6
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Reed,Eddie
中科院分区：
文献类型：
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作者：
Chapman,Kathryn;Nicholls,Keith;Sullivan,MargaretM;Crutchfield,Susan;Shaw,Thomas;Perkins,Allen;Reed,Eddie
为了给提高结直肠癌筛查率的努力提供信息，我们对阿拉巴马州的初级保健医生进行了一项关于结直肠癌筛查实践、教育偏好和筛查障碍的看法的调查。对阿拉巴马州2378名家庭医学、内科和妇产科医生进行了邮件调查。许多医生没有完全了解当前的CRC筛查做法，这些做法可能会改善患者对筛查指南的遵从性。一个例子是可能使用高灵敏度的粪便测试，如粪便免疫化学测试，而不再推荐使用低灵敏度的愈创木粪潜血测试。此外，可以更充分地利用增强的多媒体和基于网络的方法来教育医生和患者。此外，更多地使用卫生信息技术可以提高筛查率。提高初级保健医生对筛查方式的了解并增加他们对电子技术的使用可以显著改善结直肠癌筛查结果。
In order to inform efforts to increase screening rates for colorectal cancer (CRC), we conducted a survey of Alabama primary care physicians regarding CRC screening practices, educational preferences, and perceptions of obstacles to screening. A mail survey of 2,378 Alabama physicians in Family Medicine, Internal Medicine, and Obstetrics & Gynecology was conducted. Many physicians are not fully up-to-date with current CRC screening practices that could improve patient compliance with screening guidelines. One example is the potential use of high-sensitivity stool tests, such as the fecal immunochemical test, instead of the no longer recommended low-sensitivity guaiac fecal occult blood tests. In addition, enhanced multimedia and web-based approaches to educating physicians and patients could be more fully utilized. Further, greater use of health information technologies could increase screening rates. Enhancing primary care physicians' knowledge of screening modalities and increasing their use of electronic technology could significantly improve colorectal cancer screening outcomes.