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Physician-patient colorectal cancer screening discussions by physicians' screening rates.
- Source :
-
Journal of the American Board of Family Medicine : JABFM [J Am Board Fam Med] 2012 Nov-Dec; Vol. 25 (6), pp. 771-81. - Publication Year :
- 2012
-
Abstract
- Background: Most physicians report routinely recommending colorectal cancer (CRC) screening, but many eligible patients are not screened. To better understand this finding, we explored the relationship between the content of hypothetical patient-physician CRC screening discussions and CRC screening rates in physicians' practices.<br />Methods: Semistructured interviews, including role-playing, with 24 primary care physicians explored their CRC screening approach with average-risk patients. Qualitative analysis examined physician-reported components of the CRC screening discussion, then compared findings between physicians with high (≥60%, n = 16) and low (≤45%, n = 8) CRC screening rates (based on HEDIS criteria). We conducted no statistical tests because of the small sample size and its exploratory aims.<br />Results: High screeners used dramatic language (eg, patient stories) and mentioned risk of death, disability, or surgery from CRC in screening discussion role-plays more often than low screeners. High screeners frequently offered fecal occult blood testing, flexible sigmoidoscopy, and colonoscopy as equally acceptable screening options. High screeners more commonly described solutions for overcoming CRC screening barriers.<br />Conclusions: Encouraging providers to use risk-specific messaging about the consequences of CRC, offering screening option choices, and promoting a problem-solving approach to surmount barriers are potential strategies for increasing CRC screening rates.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Colorectal Neoplasms psychology
Early Detection of Cancer methods
Early Detection of Cancer psychology
Female
Health Care Surveys
Humans
Idaho
Interviews as Topic
Male
Middle Aged
Patient Acceptance of Health Care psychology
Primary Health Care
Qualitative Research
Role Playing
Washington
Young Adult
Colorectal Neoplasms diagnosis
Directive Counseling methods
Early Detection of Cancer statistics & numerical data
Patient Acceptance of Health Care statistics & numerical data
Physician-Patient Relations
Subjects
Details
- Language :
- English
- ISSN :
- 1558-7118
- Volume :
- 25
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of the American Board of Family Medicine : JABFM
- Publication Type :
- Academic Journal
- Accession number :
- 23136315
- Full Text :
- https://doi.org/10.3122/jabfm.2012.06.110279