Tse Justin, Liaw Siaw-Teng
Department of General Practice, University of Melbourne, Victoria.
Aust Fam Physician. 2004 Mar;33(3):188-90.
To examine the perceptions, knowledge and reported intended practice of prostate cancer screening by general practice registrars.
A descriptive study using a mail survey of all Victorian general practice registrars and supplementary interviews.
The response rate to the questionnaire was 74% (n = 148). The reported correct answer for the sensitivity and specificity of digital rectal examination (DRE) and prostate specific antigen (PSA) test was 48% and 52%, and 30% and 35% respectively. Responses to questions about registrar's knowledge of screening guidelines indicated respondents believe that men aged 50 years and over should undergo annual screening. Over 50% of respondents were not familiar with any Australian guidelines for prostate cancer screening. However, reported intended practice was consistent with guidelines, with 73% of respondents indicating they would not perform a PSA test as part of a 55 year old man's check up. Qualitative interviews highlighted the importance of The Royal Australian College of General Practitioners supervisor, peer learning at release sessions, and study group preparation for college examination in their clinical decision making. Online learning and access were seen to be potential areas for further development.
While knowledge about the characteristics of tests for prostate cancer and Australian prostate screening guidelines is poor, most registrars practice according to current guidelines. The potential of online learning and increased access to the internet needs further study.
探讨全科实习医生对前列腺癌筛查的认知、知识以及报告的预期做法。
采用对所有维多利亚州全科实习医生进行邮件调查及补充访谈的描述性研究。
问卷回复率为74%（n = 148）。对于直肠指检（DRE）和前列腺特异性抗原（PSA）检测的敏感性和特异性，报告的正确答案分别为48%和52%，以及30%和35%。关于实习医生对筛查指南知识的问题回复表明，受访者认为50岁及以上男性应每年进行筛查。超过50%的受访者不熟悉任何澳大利亚前列腺癌筛查指南。然而，报告的预期做法与指南一致，73%的受访者表示他们不会在对一名55岁男性的体检中进行PSA检测。定性访谈强调了澳大利亚皇家全科医生学院导师、发布会上的同伴学习以及为学院考试进行的学习小组准备在他们临床决策中的重要性。在线学习和获取信息被视为有待进一步发展的潜在领域。
虽然对前列腺癌检测特征和澳大利亚前列腺筛查指南的了解较差，但大多数实习医生按照现行指南开展工作。在线学习的潜力以及互联网接入的增加需要进一步研究。
