Fox S A, Roetzheim R G, Kington R S
RAND, Santa Monica, California 90407-2138, USA.
Clin Geriatr Med. 1997 Feb;13(1):79-95.
Barriers to cancer screening are numerous and include both immutable barriers, such as a patient's low income, as well as more mutable barriers; fortunately, most barriers are potentially mutable ones. These encompass, among others, doctor patient communication patterns, inadequate and inaccurate health information, at attitudinal barriers such as patient anxiety, and community barriers, such as the lack of a provider reminder system to patients that prompts compliance. One of the easiest enablers of patient screening to implement is for clinicians to communicate their enthusiastic belief in screening to their older patients. Numerous studies now have documented the effectiveness of the physician's role in increasing patient compliance with screening guidelines.
癌症筛查存在诸多障碍，包括一些不可改变的障碍，如患者收入低，以及更多可变的障碍；幸运的是，大多数障碍是有可能改变的。这些障碍包括医患沟通模式、不充分和不准确的健康信息、患者焦虑等态度障碍，以及社区障碍，如缺乏向患者提示依从性的医疗服务提供者提醒系统。临床医生向老年患者传达他们对筛查的积极信念，是最容易实施的促进患者筛查的方法之一。现在有大量研究记录了医生在提高患者对筛查指南依从性方面的作用。
