In-office cancer-screening education of primary care physicians. 1994

P T Williams, and G Eckert, and A Epstein, and L Mourad, and F Helmick
Department of Family Medicine, Ohio State University, Columbus 43210.

In a demonstration project, education representatives were trained to perform "academic detailing" of cancer control information for physicians and for staff members of family physicians' offices. One-hour visits were arranged at specific times so as to avoid disruption of patient care activities. The representatives led discussions of salient tissues regarding early detection of cancer at three sites (breast, colon-rectum, and prostate) and left relevant patient education materials. Seventeen visits were made to 11 practices involving 22 physicians and 85 staff members. Ten items were selected as evidence of favorable cancer control activities: ashtrays had been removed from the waiting room, patient information was displayed in a wall rack, medical records contained a method for prompting the physician about preventive or screening services that were due to be performed, a recall system reminded patients of services that were due to be performed, the receptionist was involved, the nurse was involved, American Cancer Society (ACS)-recommended services were used or had been added, the physician talked to other physicians about the visit discussions, services or materials had been requested from the local ACS unit, and staff members or physicians had volunteered to serve the ACS. The compliance rate was 35% at baseline. At post-intervention assessment, the compliance rate had increased by 35%, for a final compliance rate of 70%.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D008297 Male Males
D008327 Mammography Radiographic examination of the breast. 3D-Mammography,Digital Breast Tomosynthesis,Digital Mammography,X-ray Breast Tomosynthesis,3D Mammography,3D-Mammographies,Breast Tomosyntheses, Digital,Breast Tomosyntheses, X-ray,Breast Tomosynthesis, Digital,Breast Tomosynthesis, X-ray,Digital Breast Tomosyntheses,Digital Mammographies,Mammographies,Mammographies, Digital,Mammography, Digital,X ray Breast Tomosynthesis,X-ray Breast Tomosyntheses
D008403 Mass Screening Organized periodic procedures performed on large groups of people for the purpose of detecting disease. Screening,Mass Screenings,Screening, Mass,Screenings,Screenings, Mass
D008495 Medical Oncology A subspecialty of internal medicine concerned with the study of neoplasms. Oncology, Medical,Clinical Oncology,Oncology, Clinical
D008503 Medical Staff Professional medical personnel who provide care to patients in an organized facility, institution or agency. Medical Staffs,Staff, Medical,Staffs, Medical
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009369 Neoplasms New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms. Benign Neoplasm,Cancer,Malignant Neoplasm,Tumor,Tumors,Benign Neoplasms,Malignancy,Malignant Neoplasms,Neoplasia,Neoplasm,Neoplasms, Benign,Cancers,Malignancies,Neoplasias,Neoplasm, Benign,Neoplasm, Malignant,Neoplasms, Malignant
D009740 Nursing Staff Personnel who provide nursing service to patients in an organized facility, institution, or agency. Nursing Staffs,Staff, Nursing,Staffs, Nursing
D010353 Patient Education as Topic The teaching or training of patients concerning their own health needs. Education of Patients,Education, Patient,Patient Education
D010824 Physicians' Offices The room or rooms in which the physician and staff provide patient care. The offices include all rooms in the physician's office suite. Physician's Office,Office, Physician's,Office, Physicians',Offices, Physician's,Offices, Physicians',Physician Office,Physician Offices,Physician's Offices,Physicians Office,Physicians Offices,Physicians' Office

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