Macpherson L M D, McCann M F, Gibson J, Binnie V I, Stephen K W
University of Glasgow Dental School, 378 Sauchiehall Street, Glasgow G2 3JZ, Scotland, UK.
Br Dent J. 2003 Sep 13;195(5):277-81; discussion 263. doi: 10.1038/sj.bdj.4810481.
To investigate current knowledge, examination habits and preventive practices of primary healthcare professionals in Scotland, with respect to oral cancer, and to determine any relevant training needs.
Primary care.
Questionnaires were sent to a random sample of 357 general medical practitioners (GMPs) and 331 dental practitioners throughout Scotland. Additionally, focus group research and interviews were conducted amongst primary healthcare team members.
Whilst 58% of dental respondents reported examining regularly for signs of oral cancer, GMPs examined patients' mouths usually in response to a complaint of soreness. The majority of GMPs (85%) and dentists (63%) indicated that they felt less than confident in detecting oral cancer, with over 70% of GMPs identifying lack of training as an important barrier. Many practitioners were unclear concerning the relative importance of the presence of potentially malignant lesions in the oral cavity. A high proportion of the GMPs indicated that they should have a major role to play in oral cancer detection (66%) but many felt strongly that this should be primarily the remit of the dental team.
The study revealed a need for continuing education programmes for primary care practitioners in oral cancer-related activities. This should aim to improve diagnostic skills and seek to increase practitioners' participation in preventive activities.
调查苏格兰基层医疗保健专业人员在口腔癌方面的现有知识、检查习惯和预防措施，并确定任何相关的培训需求。
基层医疗。
向苏格兰各地357名全科医生（GMPs）和331名牙科医生的随机样本发放问卷。此外，还对基层医疗团队成员进行了焦点小组研究和访谈。
虽然58%的牙科受访者报告定期检查口腔癌迹象，但全科医生通常是在患者主诉疼痛时才检查口腔。大多数全科医生（85%）和牙医（63%）表示，他们对检测口腔癌缺乏信心，超过70%的全科医生认为缺乏培训是一个重要障碍。许多从业者不清楚口腔潜在恶性病变存在的相对重要性。很大比例的全科医生表示，他们在口腔癌检测中应发挥主要作用（66%），但许多人强烈认为这主要应是牙科团队的职责。
该研究表明，需要为基层医疗从业者开展与口腔癌相关活动的继续教育项目。这应旨在提高诊断技能，并寻求增加从业者对预防活动的参与度。
