Abstract:
BACKGROUND AND OBJECTIVES:Colorectal cancer (CRC) screening is widely recommended but underused. A physician's recommendation for CRC screening has been consistently associated with patients undergoing CRC screening, but a better understanding of factors influencing a physician's recommendation for CRC screening is needed. This study's purpose was to describe patient and physician factors associated with a physician's recommendation for CRC screening. METHODS:A cross-sectional survey was conducted in a primary care clinic population during 2004-2005 to determine the association between self-reported physician recommendation for CRC testing and patients' sociodemographic factors, health characteristics, other health behaviors, and physician and patient-physician factors including patient-physician gender and racial/ethnic congruence. Bivariate and multivariate logistic regressions were performed. RESULTS:A total of 560 patients ages 50-80 were recruited. Their mean age was 63 years, 47.5% were male, 36% were non-Hispanic whites, 35% were African Americans, and 29% were Hispanics. Sixty-one percent reported receiving a physician's recommendation for CRC testing. In multivariate testing, a physician's recommendation for CRC testing was associated with having a female physician, being a male patient, having gastrointestinal disease, and having better health status. CONCLUSIONS:Female physicians are more likely to recommend CRC. Patients are more likely to receive a CRC recommendation if they are male, have gastrointestinal disease, and have better health status. Further studies should explore cultural influences on physician recommendation for screening.
journal_name
Fam Medjournal_title
Family medicineauthors
Shokar NK,Nguyen-Oghalai T,Wu Hsubject
Has Abstractpub_date
2009-06-01 00:00:00pages
427-33issue
6eissn
0742-3225issn
1938-3800journal_volume
41pub_type
杂志文章相关文献
FAMILY MEDICINE文献大全abstract::A major objective of epidemiologic investigation is to determine whether or not an association between an exposure and a condition exists in a human population. The presence of such an association cna be explored using three distinct strategies, the cohort, the case-control, and the cross-sectional approaches. This pa...
journal_title:Family medicine
pub_type: 杂志文章,评审
doi:
更新日期:1988-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Pediatric literacy promotion programs carried out in the primary care setting, such as Reach Out and Read (ROR), have been associated with improved language skills for preschool children. Primary care physicians have frequent contact with young families and may be well situated for a literacy ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
abstract::A new family practice residency curriculum in the format of the special requirements for residency training is proposed. This new curriculum consolidates the original principles of family practice with current developments in medical practice and changes in society. The emphasis is on increased flexibility, a competen...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Previous findings regarding a possible association between beta-blocker use and depression are mixed. To our knowledge there have been no studies investigating the association of beta-blockers with depression in primary care hypertension patients without previous myocardial infarction. The aim...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2014-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Little is known in primary care practices about the relationship between parenting and adolescent mental health. In addition, current parenting measures have a narrow focus or do not lend themselves to clinical intervention. This study examined the clinical utility of a new instrument measurin...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1994-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This is the 33rd annual report prepared by the American Academy of Family Physicians (AAFP) that reports retrospectively the percentage of graduates from US MD and DO-granting medical schools who entered an Accreditation Council for Graduate Medical Education (ACGME)-accredited family medicine...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Current physician burnout levels are at historically high levels, especially in family medicine, with many factors playing a role. The goal of this study was to understand demographic, psychological, environmental, behavioral, and workplace characteristics that impact physician wellness and bu...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2019.424025
更新日期:2019-09-06 00:00:00
abstract::Research themes of interest to both clinical and social sciences have been proliferating in recent years. While the personal experiences of individuals who conduct interdisciplinary research probably vary widely, several general models of research and its conduct seem to be quite common. This is illustrated using the ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00
abstract::The discipline of family medicine covers a broad area of interests which often leads to duplication of information and lack of awareness of useful information resources. In an era of limited financial and time resources, it is in the best interest of large departments to consolidate departmental and scholarly informat...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract::Given the high prevalence of unintended pregnancy and early pregnancy failure, family physicians frequently encounter these clinical problems. Early abortion care and miscarriage management are within the scope of family medicine, yet few family medicine residency programs' curricula routinely include training in thes...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Video conferencing technology (telemedicine) can be applied to many settings within the medical community; we assessed the feasibility of its use in conducting observations of faculty at remote family medicine teaching sites. METHODS:We deployed seven telemedicine units to five family medicin...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Our objective was to describe the results of a 6-year patient-centered medical home (PCMH) transformation program in 11 Colorado primary care residency practices. METHODS:We used a parallel qualitative and quantitative evaluation including cross-sectional surveys of practice staff and clinici...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2019.928558
更新日期:2019-07-01 00:00:00
abstract::The clinical relationship of academic family practice units to their parent tertiary care medical centers was studied. We surveyed the designated family practice contacts in all U.S. medical schools and achieved a response rate of 84%. We found wide variations in the degree to which academic family practice units prov...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1987-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Family physicians are poised to provide medical care to older adults residing in the broad range of facilities now currently available to this population. To date, geriatric training has focused on skilled nursing facilities, particularly for the required Review Committee for Family Medicine (...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:To judge the effectiveness of a new required third-year family practice (FP) clerkship, we designed a 20-item FP comfort assessment (FPCA) to measure students' self-reported comfort with a wide range of FP skills. This report examines the behavior and characteristics of the FPCA. METHODS:During the 1990-91 ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::Physicians have tended to label the patient who doesn't follow their advice as resistant and noncompliant. However, compliance studies have not identified the physician's sometimes unwitting complicity in the noncompliance. Some physician-patient partnerships are marked by an intensifying power struggle which may have...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1986-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Despite recent improvements in access to health care, many Americans still lack access to dental care. There has been a national focus on interprofessional education and team-based care to work toward the integration of services including dental care into primary care. The purpose of this syst...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2019.232634
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Family physicians, as primary care providers for reproductive-aged women, frequently initiate or refer patients for management of early pregnancy failure (EPF). Safe and effective options for EPF treatment include expectant management, medical management with misoprostol, and aspiration in the...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:As part of an initiative to promote the education of generalist physicians at the University of North Carolina, a series of meetings were held over a 12-month period between generalist senior faculty and faculty from a range of departments in the School of Medicine and other health professions...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1997-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Physicians are sometimes poor at observing patient confidentiality. Medical students have access to patients and their medical records, but there is little known about how well students respect patients' confidentiality. Our objective was to study how medical students deal with confidential pa...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2009-05-01 00:00:00
abstract::This article is intended to inform STFM and NAPCRG members of current developments regarding this organizational process and the future of each organization. These preliminary discussions have provided a basis for determining how family medicine can be more effective as an academic discipline. The board of directors a...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Many family practice residency programs use the Myers-Briggs Type Indicator (MBTI) in the process of resident advising. The purpose of this study was to validate the MBTI with an alternative personality evaluation instrument. METHODS:We evaluated 44 residents with both the MBTI and the Sixtee...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1993-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Using activities of daily living (ADLs) and instrumental activities of daily living (IADLs) as a focus, faculty at Eastern Virginia Medical School provide an aging simulation exercise for a mandatory fourth-year clerkship in geriatrics. The specific aims of the simulation are to 1) experience ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Little is known regarding the dynamics of elderly persons' participation in health promotion programs. We studied factors influencing the participation of 337 sedentary elderly persons in an exercise promotion session. All study participants were members of a health maintenance organization. METHODS:Baselin...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract::Family practice as a career choice has been related to a number of educational variables, including the presence of a required clinical clerkship. In order to determine whether or not the timing of the required clinical clerkship was also related to family practice residency selection, a study was undertaken to invest...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1988-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Little is known about how the patient-centered medical home (PCMH) is being implemented in residency practices. We describe both the trends in implementation of PCMH features and the influence that working with PCMH features has on resident attitudes toward their importance in 14 family medici...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2017-03-01 00:00:00
abstract::Pregnancy, childbirth, postpartum, and infant care are a continuum in the family life cycle for which the family physician is especially qualified to provide primary, comprehensive care. The purpose of this paper is to document and share the controversies, wisdom, and knowledge about caring for women and their familie...
journal_title:Family medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Even though curriculum skills are widely acknowledged to be an important part of faculty development in family medicine, reports of outcomes of programs that teach those skills are rarely found in the medical education literature. The Curriculum Workshop Series, one part of a 1-year faculty de...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2001-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Residents in difficulty are costly to programs in both time and resources, and encountering difficulty can be emotionally harmful to residents. Approximately 10% of residents will encounter difficulty at some point in training. While there have been several studies looking at common factors am...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2018.912108
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Antibiotic resistance is a growing problem that complicates the treatment of various illnesses. This study analyzes Medicaid encounter data to (1) determine antibiotic prescribing rates for common respiratory tract infections in Oregon and (2) assess the effect of receiving an antibiotic at an...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2009-03-01 00:00:00