scholarly journals PS3-14: Primary Care Providers Reported Use of Pre-Screening Discussions for Prostate Cancer Screening: A Cross-Sectional Survey

2010 ◽  
Vol 8 (3-4) ◽  
pp. 195-196
Author(s):  
M. Gunter ◽  
A. Von Worley ◽  
H. Davis ◽  
S. Carter ◽  
L. Scholl ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Prostate Cancer Screening ◽  
Primary Care Providers ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Breast Cancer Screening Practices for High-Risk Women: A Cross-Sectional Survey of Primary Care Providers

2020 ◽  
Vol 29 (5) ◽  
pp. 686-692
Author(s):  
Anne Blaes ◽  
Rachel I. Vogel ◽  
Rebekah H. Nagler ◽  
Alicia Allen ◽  
Susan Mason ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
High Risk ◽  
Primary Care Providers ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Screening Practices ◽  
High Risk Women

Primary Care Providers' Attitudes Towards Recommending Cancer Screening to Patients With Intellectual Disability: A Cross-Sectional Survey

Inclusion ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 185-193
Author(s):  
Genevieve Breau ◽  
Sally Thorne ◽  
Jennifer Baumbusch ◽  
T. Greg Hislop ◽  
Arminee Kazanjian
Keyword(s):  
Colorectal Cancer ◽  
Primary Care ◽  
Intellectual Disability ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Primary Care Providers ◽  
Survey Study ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Individuals with intellectual disability (ID) obtain breast, cervical, and colorectal cancer screening at lower rates, relative to the general population. This cross-sectional survey study explored how primary care providers and trainees recommend cancer screening to patients with ID, using a standardized attitudes questionnaire and vignettes of fictional patients. In total, 106 primary care providers and trainees participated. Analyses revealed that participants' attitudes towards community inclusion predicted whether participants anticipated recommending breast and colorectal cancer screening to fictional patients. Further research is needed to explore these factors in decisions to recommend screening, and how these factors contribute to cancer screening disparities.

scholarly journals Primary care physicians' reported use of pre-screening discussions for prostate cancer screening: a cross-sectional survey

2009 ◽  
Vol 10 (1) ◽  
Author(s):  
Suzanne K Linder ◽  
Sarah T Hawley ◽  
Crystale P Cooper ◽  
Lawrence E Scholl ◽  
Maria Jibaja-Weiss ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Primary Care Physicians ◽  
Prostate Cancer Screening ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Primary care providers' perspectives on discontinuing prostate cancer screening

Cancer ◽  
2012 ◽  
Vol 118 (22) ◽  
pp. 5518-5524 ◽  
Author(s):  
Craig E. Pollack ◽  
Elizabeth A. Platz ◽  
Nrupen A. Bhavsar ◽  
Gary Noronha ◽  
Gene E. Green ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Prostate Cancer Screening ◽  
Primary Care Providers ◽  
Care Providers

Integration between primary care providers and the cancer system: Gaps and opportunities

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. 6584-6584
Author(s):  
J. Sussman ◽  
W. Evans ◽  
T. Whelan ◽  
D. Bainbridge ◽  
S. Schiff ◽  
...  
Keyword(s):  
Primary Care ◽  
Cancer Patients ◽  
Primary Care Providers ◽  
Cancer Case ◽  
Care Providers ◽  
Care Needs ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Compensation Model ◽  
Cancer Program

6584 Background: A number of reports suggest that family physicians (FPs) are poorly integrated with the cancer care system. The specific gaps in care integration are poorly understood. In this study we examine specific processes of care associated with integration between FPs and regional cancer programs. Methods: Cross sectional survey of all identified primary care providers within a representative health region in Ontario, Canada. The survey instrument was created specifically for this study with items generated from published literature and expert input and pilot tested in a representative sample. A modified dilman method was used. Results: 500 physicians responded (response rate 60%). Overall 90% of respondants reported confidence in the workup of a new cancer case for the major disease sites but only half (54%) knew the process of referring to the regional cancer program. Only 57% felt investigations necessary could be done in a timely manner and 44% indicated that coordination of care needs to be improved. Most indicated preferance for an active navigation structure for newly diagnosed patients. Despite over 80% of respondents indicating use of the internet only 10% reported accessing cancer program web portals for information on the regional cancer program (such as waiting times). The majority of respondants (75%) indicated ongoing involvement in care during the active treatment phase, mostly for non cancer related medical issues but 20% indicated that they were not properly infomed of patients’ health status by the oncology program and only 57% indicated that they felt their role was valued by the cancer program during this phase in the care trajectory. In the follow up phase, 35% were unclear of their role specific to monitoring and surveillance. 60% felt their current compensation model was inadequate to support care of cancer patients. This did not vary by compensation model reported. Factors associated with better integration included attendance at educational sessions and years in practice. Conclusions: Cancer systems need to be more responsive to the needs of FPs to better integrate them and support optimal quality of care for cancer patients. Policies to clarify and support roles and responsibilites are necessary to ensure that FPs are integrated team members. No significant financial relationships to disclose.

Aging and Sexual Health: A Cross-Sectional Survey of Patients in a Canadian Urban Academic Family Health Team

2020 ◽  
Vol 39 (3) ◽  
pp. 365-372
Author(s):  
Erin Lurie ◽  
Meera Nathwani ◽  
Morgan Slater ◽  
Erica Pascoal ◽  
Sarah Chadwick ◽  
...  
Keyword(s):  
Primary Care ◽  
Sexual Health ◽  
Sexual Activity ◽  
Primary Care Physicians ◽  
Family Health ◽  
Primary Care Providers ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Concerns

ABSTRACTPrimary care physicians are in a position to recognize sexuality as a core component of health. Data examining the sexual behaviours of Canadians over the age of 50 and the role of primary care in this domain is lacking. A cross-sectional survey was administered to patients over the age of 50, which assessed the importance of sexual activity, problems, and preferences in discussing sexual health with their primary care providers. A total of 39 per cent of patients indicated ongoing sexual activity and 52% of male participants reported current sexual activity compared with 25 per cent of females (p < 0.01). More males reported sexual activity as important than did females (69% vs. 45%, p < 0.01). Participants identifying sexual health concerns discussed physical dysfunctions more than emotional, social, or global health concerns (p < 0.01). More male participants discussed sexual health concerns with their family physician than did females (p < 0.01). The results of our study indicate that many individuals over the age of 50 continue to be sexually active, and that physical and non-physical concerns directly impact participation in sexual activity.

scholarly journals Workplace violence and its aftermath in China’s health sector: implications from a cross-sectional survey across three tiers of the health system

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e031513 ◽  
Author(s):  
Sheng Zhi Yang ◽  
Dan Wu ◽  
Nan Wang ◽  
Therese Hesketh ◽  
Kai Sing Sun ◽  
...  
Keyword(s):  
Primary Care ◽  
Workplace Violence ◽  
Rural Areas ◽  
Health Workers ◽  
Physical Violence ◽  
Primary Care Providers ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Facilities

ObjectivesTo determine the prevalence of physical violence and threats against health workers and the aftermath in tertiary, secondary and primary care facilities in China.DesignA cross-sectional questionnaire study.Setting5 tertiary hospitals, 8 secondary hospitals and 32 primary care facilities located in both urban and rural areas of Zhejiang Province, China, were chosen as the study sites.ParticipantsA total of 4862 health workers who have contact with patients completed a survey from July 2016 to July 2017.Outcome measuresThe prevalence of physical violence, threats and Yi Nao, specific forms of physical violence and their aftermath were measured by a self-designed and verified questionnaire. Multivariable logistic regression models were used to examine the association between perceived organisational encouragement of reporting workplace violence (WPV) and physical violence, threats and Yi Nao after controlling for age, sex, level of facility, professional ranking and type of health worker.ResultsAmong all respondents, 224 (4.6%) were physically attacked and 848 (17.4%) experienced threats in the past year. Respondents in secondary hospitals were more likely to experience physical violence (AOR=3.29, 95% CI 2.21 to 4.89), threats (AOR=1.61, 95% CI 1.32 to 1.98) and Yi Nao (AOR=2.47, 95% CI 2.10 to 2.91), compared with primary care providers. Lack of organisational policies to report WPV was associated with higher likelihood of physical violence (AOR=3.64, 95% CI 2.57 to 5.18) and threats (AOR=2.21, 95% CI 1.76 to 2.78). Among physical violence cases, only 29.1% reported the attack to police mainly because most felt it useless to do so (58.8%). Only 25.7% were investigated and 72.4% of attackers received no punishment. Of all those attacked or threatened, 59.4% wanted to quit current post and 76.0% were fearful of dealing with urgent or severe cases.ConclusionsProper management of the aftermath of violence against health workers is inadequate. Formal guidelines for reporting and managing WPV are urgently needed.

Pathology perspective on gynaecologic malignancy screening questions in electronic consultation

2019 ◽  
pp. 1357633X1986482
Author(s):  
Carol Wang ◽  
Clare Liddy ◽  
Amir Afkham ◽  
Shahidul Islam ◽  
Fady Shehata ◽  
...  
Keyword(s):  
Primary Care ◽  
Cancer Screening ◽  
Primary Care Providers ◽  
Pathology Report ◽  
Care Providers ◽  
Cross Sectional ◽  
Screening Guidelines ◽  
Electronic Consultation ◽  
Gynaecologic Cancer ◽  
Gynaecologic Malignancy

Introduction The electronic consultation service, eConsult, is an asynchronous web-based platform for provider-to-provider consultation with specialists. This study described the utilization of eConsult by primary care providers to obtain specialist opinion in gynaecologic malignancy screening, with a specific focus on pathology-related inquiries. Methods This is a cross-sectional retrospective review of eConsults submitted to obstetrics/gynaecology between September 2011 and December 2016. All questions pertaining to gynaecologic cancer screening and their pathologies were included. Each question was classified based on a pre-determined taxonomy. The mandatory primary care providers’ exit surveys were analysed to determine eConsult's influence on patient care, primary care providers’ referral patterns, primary care providers’ satisfaction and educational value. Results In total, 1,357 electronic consultations were submitted to the obstetrics and gynaecology service during the study period, of which 329 met inclusion criteria. Indications for a screening test based on patient risk factors made up 36% of consults pertaining to gynaecologic malignancy screening and 17% were inquiries about test intervals based on previous results. Primary care providers pointed out gaps in current screening guidelines. In total, 38% of primary care providers reported the eConsult service helped avoid a specialist referral, whereas 47% of primary care providers received new or additional courses of action. Pathology report interpretation accounted for 5% of eConsults and 6% of primary care providers wished for clarification of incidental pathology findings. Conclusion This study uncovered areas of uncertainty among primary care providers regarding gynaecologic cancer screening and gaps in current clinical guidelines. Furthermore, the role of pathology consultants in an eConsult platform is explored and may be extrapolated into practice.

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