Bergner M, Allison C J, Diehr P, Ford L G, Feigl P
John Hopkins University School of Hygiene and Public Health, Health Services Research and Development Center, Baltimore, MD 21205.
Arch Intern Med. 1990 Feb;150(2):431-6.
As part of the Community Cancer Care Evaluation, a random-sample survey of practicing physicians in 12 geographic areas was conducted in 1985 to provide information about physician practice patterns with reference to cancer detection, control, and treatment. All respondents were asked whether they routinely performed comprehensive physical examinations, breast palpations, mammography, rectal examinations, chest roentgenography, and stool guaiac examinations on normal healthy patients older than 50 years. Responses were examined in terms of American Cancer Society and National Cancer Institute (Bethesda, Md) recommendations. Conformity with recommendations was dependent on the geographic area, the specific procedure, and the specialty of the physician. Across all procedures, frequency of performance varied with years since graduation from medical school, with more recent graduates more likely to conform to recommended standards.
作为社区癌症护理评估的一部分，1985年在12个地理区域对执业医师进行了随机抽样调查，以提供有关医师在癌症检测、控制和治疗方面的执业模式信息。所有受访者被问及他们是否对50岁以上的正常健康患者常规进行全面体格检查、乳房触诊、乳房X线摄影、直肠检查、胸部X线检查和粪便隐血检查。根据美国癌症协会和美国国立癌症研究所（马里兰州贝塞斯达）的建议对回答进行了审查。是否符合建议取决于地理区域、具体检查项目和医师的专业。在所有检查项目中，执行频率随自医学院毕业以来的年数而变化，较近期毕业的医师更有可能符合推荐标准。
