美籍华裔初级保健医生对结直肠癌筛查的认知、看法及沟通情况
Knowledge, Perceptions, and Communication about Colorectal Cancer Screening among Chinese American Primary Care Physicians.
作者信息
Liang Wenchi, Chen Mei-Yuh, Ma Grace X, Mandelblatt Jeanne S
机构信息
Cancer Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.
Department of Public Health and Center for Asian Health, Temple University, Philadelphia, PA.
出版信息
Clin Med Gastroenterol. 2008 Jan-Dec;1. doi: 10.4137/CGast.S697. Epub 2008 May 16.
OBJECTIVE
To assess Chinese American primary care physicians' knowledge, attitude, and barriers to recommending colorectal cancer (CRC) screening to their Chinese American patients.
METHODS
Chinese American primary care physicians serving Chinese American patients in two metropolitan areas were invited to complete a mailed survey on CRC screening knowledge, attitudes toward shared decision making and CRC screening, and CRC screening recommendation patterns.
RESULTS
About half of the 56 respondents did not know CRC incidence and mortality figures for Chinese Americans. Those aged 50 and younger, graduating from U.S. medical schools, or working in non-private settings had higher knowledge scores ( < 0.01). Physicians graduating from U.S. medical schools had more favorable attitudes toward shared decision making ( < 0.01). Lack of health insurance, inconsistent guidelines, and insufficient time were the most frequently cited barriers to recommending CRC screening.
CONCLUSIONS
Most Chinese American physicians had knowledge, attitude, and communication barriers to making optimal CRC screening recommendations.
目的
评估美籍华裔初级保健医生在向其美籍华裔患者推荐结直肠癌（CRC）筛查方面的知识、态度和障碍。
方法
邀请在两个大都市地区为美籍华裔患者服务的美籍华裔初级保健医生完成一项关于CRC筛查知识、对共同决策和CRC筛查的态度以及CRC筛查推荐模式的邮寄调查。
结果
56名受访者中约有一半不知道美籍华裔的CRC发病率和死亡率数据。年龄在50岁及以下、毕业于美国医学院或在非私立机构工作的医生知识得分更高（<0.01）。毕业于美国医学院的医生对共同决策的态度更积极（<0.01）。缺乏医疗保险、指南不一致和时间不足是推荐CRC筛查时最常提到的障碍。
结论
大多数美籍华裔医生在做出最佳CRC筛查推荐方面存在知识、态度和沟通障碍。
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