Abstract:
BACKGROUND:This study examines variations in breast cancer screening among primary care clinicians by geographic location of clinical practice. METHODS:A cross-sectional survey design was used to examine approaches to breast cancer screening among physicians, nurse practitioners, and physician assistants involved in primary care practice. A summary index of beliefs about breast cancer screening was created by summing the total number of responses in agreement with each of four survey items; values for this summary variable ranged between zero and four. Respondents were classified into urban, rural and suburban categories based upon practise location. RESULTS:Among the 428 respondents, agreement with "correct" responses ranged from 50% to 71% for the individual survey items; overall, half agreed with three or more of the four breast cancer screening items. While no significant differences were noted by practice location, variation in responses were evident. Reported use of written breast cancer guidelines was less in both suburban (OR = 0.51) and urban areas (OR = 0.56) when compared to clinicians in rural areas. CONCLUSION:Development of an evidence-based consensus statement regarding breast cancer screening would support a single set of unambiguous guidelines for implementation in all primary care settings, thus decreasing variations in how breast cancer screening is approached across varied clinical settings.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Santora LM,Mahoney MC,Lawvere S,Englert JJ,Symons AB,Mirand ALdoi
10.1186/1471-2458-3-9keywords:
subject
Has Abstractpub_date
2003-02-04 00:00:00pages
9issn
1471-2458journal_volume
3pub_type
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journal_title:BMC public health
pub_type: 杂志文章,评审
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