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澳大利亚的全科医生对前列腺癌筛查有何看法及采取了什么行动?

What do general practitioners think and do about prostate cancer screening in Australia?

作者信息

Ilic Dragan, Murphy Kerry, Green Sally

机构信息

PhD, Associate Professor, Monash University, Department of Epidemiology & Preventive Medicine, Melbourne, Victoria.

出版信息

Aust Fam Physician. 2013 Dec;42(12):904-8.

PMID:24324997
Abstract

BACKGROUND

Men seek advice from their general practitioner (GP) on the merits of screening for prostate cancer. This study aimed to examine how the knowledge and clinical experience of GPs influenced their position on prostate cancer screening.

METHODS

A total of 13 focus groups were set up with 77 GPs. Focus group discussions were audio-taped and transcribed verbatim. Transcripts were analysed by two investigators via thematic analysis.

RESULTS

GPs were evenly divided between those who proactively screen men for prostate cancer and those who do so only at the patient's request. GPs had limited knowledge of recently published evidence from trials on prostate cancer screening.

DISCUSSION

Effective methods of increasing GP knowledge about evidence-based recommendations and potentially changing clinical behaviour are required in order to promote evidence-based decision-making by GPs and their patients.

摘要

背景

男性就前列腺癌筛查的益处向他们的全科医生(GP)寻求建议。本研究旨在探讨全科医生的知识和临床经验如何影响他们对前列腺癌筛查的立场。

方法

与77名全科医生设立了总共13个焦点小组。焦点小组讨论进行了录音并逐字转录。两名研究者通过主题分析对转录本进行了分析。

结果

在主动为男性进行前列腺癌筛查的全科医生和仅在患者要求时才进行筛查的全科医生之间,人数平分秋色。全科医生对最近发表的前列腺癌筛查试验证据的了解有限。

讨论

需要有效的方法来增加全科医生对循证推荐的了解,并有可能改变临床行为,以促进全科医生及其患者基于证据的决策。

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