Ds. Lane et al., An educational approach to improving physician breast cancer screening practices and counseling skills, PAT EDUC C, 43(3), 2001, pp. 287-299
Citations number
53
Categorie Soggetti
Public Health & Health Care Science","Envirnomentale Medicine & Public Health
A multifaceted, individualized, physician education program designed to inc
rease the breast cancer screening practices of community-based primary care
physicians is described and the results are evaluated. Community-based sur
veys identified primary care providers with breast cancer screening educati
onal needs who were assigned, using a factorial design, to an intervention
or control condition. The sample included 154 control and 128 intervention
physicians. The intervention consisted of a 1-2 h in-office training progra
m and/or self-study workbook. Self-reported overall breast cancer screening
need scores improved for a greater proportion of intervention than control
physicians, particularly those receiving the in-office intervention (P = 0
.03). Clinical breast examination (CBE) need declined (P = 0.01); use of pr
ovider reminder systems increased (P = 0.02); preparedness to counsel about
CBE (P = 0.04) and recognition that age is an important risk factor for br
east cancer (P = 0.02) improved in more intervention compared to control ph
ysicians. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.