Patient Trust in Physician Influences Colorectal Cancer Screening in Low-Income Patients
Patient Trust in Physician Influences Colorectal Cancer Screening in Low-Income Patients
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DOI：
10.1016/j.amepre.2014.04.020
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发表时间：
2014-10-01
影响因子：
5.5
通讯作者：
Inadomi, John M.
中科院分区：
文献类型：
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作者：
Gupta, Shivani;Brenner, Alison T.;Inadomi, John M.
背景：结直肠癌（CRC）筛查是有效的，但未得到充分利用。虽然医生的建议是一个重要的预测筛选，相当大的变化，在CRC筛选完成remain.Purpose：描述病人的信任在CRC筛选行为的护理提供者的影响。收集数据作为2007年3月至2012年1月在旧金山弗朗西斯科社区卫生网络进行的整群随机CRC筛查干预试验的一部分（分析，2012年春季）。所有研究参与者都收到了他们的初级保健提供者（PCP）完成CRC筛查的建议。纳入的参与者年龄在50-79岁之间，目前没有进行筛查，并完成了维克森林信任量表（WFTS），该量表测量了对PCP和医生的信任。主要结局是在入组后12个月内完成CRC筛查（结肠镜检查或粪便潜血试验）。多变量关联调整种族/民族，语言和其他社会人口统计学估计使用广义估计方程与logit链接和binomial distribution.Results：WFTS响应为70.3%（701）。大多数参与者（83%）是拉丁裔，亚裔或黑人。大多数人都有收入
Background: Colorectal cancer (CRC) screening is effective but underutilized. Although physician recommendation is an important predictor of screening, considerable variation in CRC screening completion remains.Purpose: To characterize the influence of patient trust in care providers on CRC screening behavior.Methods: Data were collected as part of a cluster-randomized CRC screening intervention trial performed in the San Francisco Community Health Network from March 2007 to January 2012 (analysis, Spring 2012). All study participants received a recommendation to complete CRC screening from their primary care provider (PCP). Included participants were aged 50-79 years, not current with screening, and completed the Wake Forest Trust Scale (WFTS) measuring trust in PCPs and doctors in general. Primary outcome was CRC screening completion (colonoscopy or fecal occult blood testing) within 12 months following enrollment. Multivariable association adjusted for race/ethnicity, language, and other sociodemographics was estimated using generalized estimating equations with logit link and binomial distribution.Results: WFTS response was 70.3% (701). Most participants (83%) were Latino, Asian, or black. Most had income