Perceived colonoscopy barriers and facilitators among urban African American patients and their medical residents.
Perceived colonoscopy barriers and facilitators among urban African American patients and their medical residents.
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DOI：
10.1080/10810730.2012.727961
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发表时间：
2013
影响因子：
4.4
通讯作者：
Ruzek, Sheryl B.
中科院分区：
文献类型：
--
作者：
Ruggieri, Dominique G.;Bass, Sarah Bauerle;Rovito, Michael J.;Ward, Stephanie;Gordon, Thomas F.;Paranjape, Anuradha;Lin, Karen;Meyer, Brian;Parameswaran, Lilitha;Wolak, Caitlin;Britto, Johnson;Ruzek, Sheryl B.
非裔美国人的结直肠癌发病率和死亡率高于白人，但筛查率却最低。为了了解结直肠癌筛查的障碍和促进因素，本研究使用感知图（多维尺度）方法将患者对结肠镜检查和一般预防性健康实践的看法与大型城市医院普通内科诊所的医生进行比较。对非裔美国患者 (n = 102) 进行了调查，了解他们自己的筛查信念；第三年住院医师（n = 29）被问及他们认为患者相信什么。感知图显示患者和医生对筛查障碍、促进因素和信念的看法存在显着差异。医生认为，后勤生活方式问题是患者最大的筛查障碍，而对并发症、疼痛和癌症的恐惧则是患者认为最重要的障碍。医生还低估了患者对筛查的好处和重要性的理解、医生的建议以及对上帝的信仰可以促进筛查的信念。医生和患者认为医生的筛查建议是一个重要的促进因素。更好地了解患者的看法可用于改善医患沟通，并通过纳入为非裔美国患者量身定制的特定信息来改善住院医师培训。
African Americans suffer from higher colorectal cancer morbidity and mortality than do Whites, yet have the lowest screening rates. To understand barriers and facilitators to colorectal cancer screening, this study used perceptual mapping (multidimensional scaling) methods to compare patients’ perceptions of colonoscopy and general preventive health practices to those of their doctors in a general internal medicine clinic in a large urban hospital. African American patients (n = 102) were surveyed about their own screening beliefs; third-year resident physicians (n = 29) were asked what they perceived their patients believed. The perceptual maps showed significant differences between the patients’ and physicians’ perceptions of barriers, facilitators, and beliefs about screening. Physicians believed logistical lifestyle issues were the greatest screening barriers for their patients whereas fears of complications, pain, and cancer were the most important barriers perceived by patients. Physicians also underestimated patients’ understanding of the benefits and importance of screening, doctors’ recommendations, and beliefs that faith in God could facilitate screening. Physicians and patients perceived a doctor’s recommendation for screening was an important facilitator. Better understanding of patient perceptions can be used to improve doctor–patient communication and to improve medical resident training by incorporating specific messages tailored for use with African American patients.
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影响因子：
5.9
作者：
Beeker, C;Kraft, JM;Jorgensen, CM
通讯作者：
Jorgensen, CM
影响因子：
9.8
作者：
Barrison, AF;Smith, C;Schroy, PC
通讯作者：
Schroy, PC
影响因子：
1.6
作者：
Oxentenko, Amy S.;Goel, Nisheeth K.;Limburg, Paul J.
通讯作者：
Limburg, Paul J.
DOI：
10.1046/j.1523-5394.2002.105003.x
发表时间：
2002-09-01
期刊：
CANCER PRACTICE
影响因子：
--
作者：
Holmes-Rovner, M;Williams, GA;Given, CW
通讯作者：
Given, CW
影响因子：
5.7
作者：
Greiner, KA;Born, W;Ahluwalia, JS
通讯作者：
Ahluwalia, JS