Chapman Kathryn, Nicholls Keith, Sullivan Margaret M, Crutchfield Susan, Shaw Thomas, Perkins Allen, Reed Eddie
Cancer Prevention Program, Alabama FITWAY Colorectal Cancer Prevention Program, Bureau of Family Health Services, Alabama Department of Public Health, 36104, Montgomery, AL, USA.
J Cancer Educ. 2012 Dec;27(4):687-94. doi: 10.1007/s13187-012-0392-6.
In order to inform efforts to increase screening rates for colorectal cancer (CRC), we conducted a survey of Alabama primary care physicians regarding CRC screening practices, educational preferences, and perceptions of obstacles to screening. A mail survey of 2,378 Alabama physicians in Family Medicine, Internal Medicine, and Obstetrics & Gynecology was conducted. Many physicians are not fully up-to-date with current CRC screening practices that could improve patient compliance with screening guidelines. One example is the potential use of high-sensitivity stool tests, such as the fecal immunochemical test, instead of the no longer recommended low-sensitivity guaiac fecal occult blood tests. In addition, enhanced multimedia and web-based approaches to educating physicians and patients could be more fully utilized. Further, greater use of health information technologies could increase screening rates. Enhancing primary care physicians' knowledge of screening modalities and increasing their use of electronic technology could significantly improve colorectal cancer screening outcomes.
为了为提高结直肠癌（CRC）筛查率的工作提供信息，我们针对阿拉巴马州的初级保健医生开展了一项关于CRC筛查实践、教育偏好以及对筛查障碍认知的调查。对阿拉巴马州2378名从事家庭医学、内科医学以及妇产科的医生进行了邮寄调查。许多医生并未完全跟上当前能够提高患者对筛查指南依从性的CRC筛查实践。一个例子是高灵敏度粪便检测（如粪便免疫化学检测）的潜在应用，而非不再推荐的低灵敏度愈创木脂粪便潜血检测。此外，可以更充分地利用增强型多媒体和基于网络的方法来教育医生和患者。再者，更多地使用健康信息技术可以提高筛查率。增强初级保健医生对筛查方式的了解并增加他们对电子技术的使用，可能会显著改善结直肠癌筛查结果。
