CANCER CONTROL BEHAVIOR OF PRIMARY CARE PHYSICIANS

很有必要提高初级保健医生对 癌症控制活动如果我们要降低死亡率和 通过早期发现和预防减少癌症发病率。在……里面 为了为此目的制定干预措施，有必要获得 更好地了解影响医生使用药物的因素 这些活动。 拟议项目的具体目标是应用态度和 行为改变理论对人的认知和理解 影响9种不同癌症就诊率的因素 控制活动。理性行动理论将被用作 研究和识别信仰、态度、过去的框架 经验，和环境条件，可以预测 这些癌症控制活动率。前期工作已经完成 开展癌症筛查以培养医生的态度 (PCSA)调查仪器。 调查工具将以50%的样本进行 华盛顿州的家庭医生。行为评估 费率将通过三种类型的衡量标准获得：医生 自我报告、患者调查和图表审计。医生自己- 将获得关于测量仪器的报告。患者调查 图表审计将在60名医生的子样本中进行 练习。问卷调查与行为率的回归分析 将进行数据以确定关键的信念、态度、实践 特征，以及在调查中衡量的其他因素 每项癌症控制执行率的重要预测因素 活动。

There is a great need to improve primary care physician use of cancer control activities if we are to reduce mortality and morbidity from cancer through early detection and prevention. In order to develop interventions to this end, it is necessary to gain a better understanding of the factors affecting physician use of these activities. The specific aim of the proposed project is to apply attitude and behavior change theory to the identification and understanding of factors affecting physician rates of doing 9 different cancer control activities. The Theory of Reasoned Action will be used as a framework for studying and identifying beliefs, attitudes, past experiences, and environmental conditions that are predictive of these cancer control activity rates. Preliminary work has been conducted to develop a physician cancer screening attitude (PCSA) survey instrument. The survey instrument will be administered to a 50% sample of family physicians in Washington State. Assessment of behavior rates will be obtained through three types of measures: physician self-report, patient surveys, and chart audits. Physician self- report will be obtained on the survey instrument. Patient surveys and chart audits will be conducted in a subsample of 60 physicians' practices. Regression analysis of the survey and behavior rate data will be conducted to identify key beliefs, attitudes, practice characteristics, and other factors measured in the survey that are important predictors of rates of performing each cancer control activity.