Craig Benjamin M, Bell Bethany A, Quinn Gwendolyn P, Vadaparampil Susan T
Moffitt Cancer Center, 12902 Magnolia Drive, MRC-CANCONT, Tampa, FL 33612-9416, USA.
J Cancer Educ. 2010 Dec;25(4):548-55. doi: 10.1007/s13187-010-0100-3. Epub 2010 Mar 25.
Understanding the prevalence of cancer-related visits by physician specialty may help target educational and quality improvement initiatives. Using the 1997-2006 National Ambulatory Medical Care Survey, adult ambulatory visits (N = 161,278) were classified by cancer diagnosis and patients' characteristics and compared with physician specialty. The prevalence of cancer visits within each specialty varied from 0% to 62%. Aside from hematology/oncology (hem/onc) specialties, nine surgical specialties and four medical specialties had more than 1% cancer visits. Cancer patients with private insurance or Medicaid coverage were less likely to see hem/onc specialists compared to Medicare patients. Whereas hem/onc specialists primarily see cancer patients, general surgeons and primary care physicians provide a large amount of cancer services, particularly to underinsured patients. Thus, when trying to contact cancer patients or their physicians, health administrators, researchers, and practitioners should consider targeting general surgeons and primary care physicians in addition to hem/onc specialists.
了解按医生专业划分的癌症相关就诊率，可能有助于确定教育和质量改进举措的目标。利用1997 - 2006年全国门诊医疗调查，对成人门诊就诊情况（N = 161,278）按癌症诊断和患者特征进行分类，并与医生专业进行比较。各专业内癌症就诊率从0%到62%不等。除血液学/肿瘤学（血液/肿瘤）专业外，九个外科专业和四个内科专业的癌症就诊率超过1%。与医疗保险患者相比，拥有私人保险或医疗补助的癌症患者看血液/肿瘤专科医生的可能性较小。虽然血液/肿瘤专科医生主要诊治癌症患者，但普通外科医生和初级保健医生也提供大量癌症服务，尤其是为保险不足的患者。因此，在试图联系癌症患者或其医生时，卫生管理人员、研究人员和从业者除了血液/肿瘤专科医生外，还应考虑将普通外科医生和初级保健医生作为目标对象。
