Shieh Kenneth, Gao Feng, Ristvedt Stephen, Schootman Mario, Early Dayna
Department of Medicine, Washington University School of Medicine and the Siteman Cancer Center, St Louis, Missouri 63110, USA.
Dig Dis Sci. 2005 May;50(5):809-14. doi: 10.1007/s10620-005-2644-3.
Primary-care physicians have significant influence on whether or not their patients participate in colorectal cancer screening (CRCS). This study explored the association of physicians' personal health beliefs, medical history, and personal participation in CRCS with their practice patterns regarding CRCS. Perceived personal risk for colorectal cancer (CRC) was associated with compliance with American Cancer Society (ACS) guidelines for CRCS for their patients (P = 0.03). For physicians at low risk for CRC, their perception of the seriousness of CRC was significantly associated with compliance (P = 0.047). For physicians at, at least, average risk for CRC, personal participation in CRCS did not predict whether they recommend CRCS to their patients. Efforts to improve physicians' understanding about their own susceptibility to CRC and the seriousness of CRC may improve their compliance with making recommendations for CRCS to their patients and may improve their participation in CRCS.
初级保健医生对其患者是否参与结直肠癌筛查(CRCS)具有重大影响。本研究探讨了医生的个人健康信念、病史以及个人参与CRCS与其关于CRCS的执业模式之间的关联。医生对自身患结直肠癌(CRC)的感知风险与对其患者遵循美国癌症协会(ACS)CRCS指南的情况相关(P = 0.03)。对于患CRC低风险的医生,他们对CRC严重性的认知与遵循情况显著相关(P = 0.047)。对于至少处于患CRC平均风险的医生,个人参与CRCS并不能预测他们是否会向患者推荐CRCS。努力提高医生对自身患CRC易感性以及CRC严重性的认识,可能会提高他们向患者推荐CRCS的依从性,并可能提高他们参与CRCS的程度。