Kalache A, Roberts M, Stratton I
J R Coll Gen Pract. 1984 May;34(262):250-4.
A considerable proportion of women with breast cancer in this country present for treatment in late stages of the disease; Britain's primary health-care system means that in most cases the possible diagnosis of breast cancer is first made in general practice. This offers ample opportunity for early diagnosis and a better understanding about the way the general practitioners perceive the problems associated with the disease. With that specific aim, the present article reports on a survey conducted simultaneously in Oxford and in Edinburgh. Results show that general practitioners in the survey are deeply concerned about breast cancer and see a definite role for themselves in its early detection and long-term management. They also see a need for more health education that includes the encourgement of breast self-examination programmes. Most are in favour of open-access breast clinics for women and, in general, they feel positive about self-education programmes.
在这个国家，相当一部分乳腺癌女性患者在疾病晚期才前来接受治疗；英国的初级医疗保健系统意味着，在大多数情况下，乳腺癌的可能诊断首先是在全科医疗中做出的。这为早期诊断提供了充足的机会，也有助于更好地了解全科医生对与该疾病相关问题的认知方式。出于这一特定目的，本文报告了在牛津和爱丁堡同时进行的一项调查。结果显示，参与调查的全科医生对乳腺癌深感担忧，并认为自己在早期发现和长期管理方面能发挥明确作用。他们还认为有必要开展更多健康教育，包括鼓励乳房自我检查计划。大多数人赞成开设面向女性的开放式乳房诊所，总体而言，他们对自我教育计划持积极态度。
