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Patients at elevated risk of melanoma: individual predictors of non-compliance to GP referral for a dermatologist consultation.

Abstract：

OBJECTIVE:The aim of this study is to assess whether patients at elevated risk of melanoma attended a dermatologist consultation after a General Practitioner referral and to determine individual predictors of non-compliance. METHOD:This survey included 1506 high-risk French patients (selected using the Self-Assessment Melanoma Risk Score) referred to a dermatologist between April and October 2011. Compliance was evaluated from January to April 2012, based on attendance at a dermatologist consultation (or scheduling an appointment). Demographic data and factors mapping the Health Belief Model were tested as correlates using a multivariate logistic regression. RESULTS:Compliance with referral was 58.4%. The top seven factors associated with non-compliance were as follows: GP advice to consult was unclear (OR=13.22; [7.66-23.56]); no previous participation in cancer screenings, including smear tests (OR=5.03; [2.23-11.83]) and prostate screening (OR=2.04; [1.06-3.97]); lack of knowledge that melanoma was a type of cancer (OR=1.94; [1.29-2.92]); and reporting no time to make an appointment (OR=2.08; [1.82-2.38]), forgetting to make an appointment (OR=1.26; [1.08-1.46]), long delays in accessing an appointment (OR=1.25; [1.12-1.41]), not being afraid of detecting something abnormal (OR=1.54; [1.35-1.78]), no need to consult a dermatologist to feel secure (OR=1.28; [1.09-1.51]). CONCLUSION:Physicians should be aware of the factors predicting patient compliance with referrals for dermatologist consultations; better General Practitioner counseling might enhance compliance in high-risk populations.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Rat C,Quereux G,Monegier du Sorbier M,Gaultier A,Bonnaud-Antignac A,Khammari A,Dreno B,Nguyen JM

doi

10.1016/j.ypmed.2014.03.029

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

48-53

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(14)00123-6

journal_volume

64

pub_type

杂志文章

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