Use of nonphysician health care providers for skin cancer screening in the primary care setting
Use of nonphysician health care providers for skin cancer screening in the primary care setting
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DOI：
10.1006/pmed.2001.0995
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发表时间：
2002-03-01
影响因子：
5.1
通讯作者：
Halpern, AC
中科院分区：
文献类型：
--
作者：
Oliveria, SA;Altman, JF;Halpern, AC
背景非医生的卫生保健提供者是在一个最佳的位置，提供癌症预防和筛查服务。我们进行了一项调查的初级保健医生，以确定医生使用和顺从使用非医生的卫生保健提供者进行皮肤癌筛查与其他癌症筛查examination.Results.Results.共有1,363名合格的医生完成了调查。其中，631名医生（46%）报告了护士执业者或医生助理对患者进行至少一种类型的癌症筛查检查。分别有29%和22%的医生报告了护士执业者或医生助理进行皮肤癌筛查。家庭医生比内科医生更可能使用执业护士和医生助理进行这些癌症筛查检查（卡方检验，每次检查P = 0.001）。与所有其他癌症筛查检查相比，执业护士和医生助理进行皮肤检查的频率较低。共有73-79%的家庭医生和60-70%的内科医生愿意让非医生的医疗保健提供者进行一项或多项这些检查。初级保健医生目前正在利用非医生的医疗保健提供者进行癌症筛查检查，大多数接受调查的人都愿意使用这些提供者进行此类检查。这表明，增加皮肤癌筛查的一个可能的策略是通过扩大非医生医疗保健提供者的作用。(C)2002年美国健康基金会和爱思唯尔科学（美国）。
Background. Nonphysician health care providers are in an optimal position to provide cancer prevention and screening services.Methods. We conducted a survey of primary care physicians to determine physician use and amenability to use of nonphysician health care providers to perform skin cancer screening in comparison with other cancer screening examinations.Results. A total of 1,363 eligible physicians completed the survey. Of these, 631 physicians (46%) reported a nurse practitioner or physician assistant performing at least one type of cancer screening examination on their patients. Twenty-nine and 22% of all physicians reported nurse practitioners or physician assistants performing skin cancer screening, respectively. Family physicians were more likely to use nurse practitioners and physician assistants to perform these cancer screening examinations than internists (chi(2) test, P = 0.001 for each examination). Skin examinations were performed less frequently by nurse practitioners and physician assistants than all other cancer screening examinations. A total of 73-79% of family physicians and 60-70% of internists were amenable to having a nonphysician health care provider perform one or more of these examinations.Conclusions. Primary care physicians are currently utilizing nonphysician health care providers to perform cancer screening examinations and the majority of those surveyed are amenable to the use of these providers for such examinations. This suggests that one possible strategy for increasing skin cancer screening is through an expanded role of nonphysician health care Providers. (C) 2002 American Health Foundation and Elsevier Science (USA).