期刊
PATIENT EDUCATION AND COUNSELING
卷 75, 期 2, 页码 178-184出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2008.09.010
关键词
Physician/patient communication; Cancer screening; Patient adherence
资金
- National institutes of Health, National Cancer Institute [1 R01 CA61249]
Objective: The objective of this study was to examine the separate contributions of patients and physicians to their communication regarding cancer screening. Methods: Research design and subjects: The authors conducted a cross-sectional analysis of survey data collected from 63 community-based primary care physicians and 904 of their female patients in Los Angeles. Results: Patients who perceived their physicians to be enthusiastic (at any level) in their discussions of mammography or fecal occult blood tests (FOBT) were significantly more likely to report a recent test than patients who reported no discussions. Conclusion: Physician discussions of cancer screening are important and effective even when, as in the case of mammography, screening rates are already high, or. as in the case of FOBT. rates have tended to remain low. The value of communication about screening should be taught and promoted to primary care physicians who serve as gatekeepers to screening. Practice implications: Those who train physicians in communication skills should take into account our finding that the communication style of physicians (e.g., enthusiasm for screening) was the only patient or physician variable that both influenced screening adherence and that could be taught. (C) 2009 Published by Elsevier Ireland Ltd.
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