Inner city primary care providers' breast cancer screening knowledge: implications for intervention.
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| Title: | Inner city primary care providers' breast cancer screening knowledge: implications for intervention. |
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| Authors: | Johnson KM (AUTHOR), Taylor VM (AUTHOR), Lessler D (AUTHOR), Thompson B (AUTHOR), Goldberg HI (AUTHOR) |
| Source: | Journal of Community Health. Feb98, Vol. 23 Issue 1, p1-13. 13p. |
| Abstract: | Low income and minority women continue to have relatively low breast cancer screening rates. Since physician recommendation is one of the most important determinants of mammography participation, we aimed to characterize the breast cancer screening knowledge of primary care providers serving a socially disadvantaged population. The study was conducted at the Adult Medicine Clinic of Seattle's county hospital. All attending physicians, resident physicians, and mid-level practitioners were asked to complete a questionnaire in the spring of 1995. Forty-nine of 52 (94%) eligible providers completed the survey. The respondents generally agreed with published guidelines for screening mammography use. In contrast, they had relatively low levels of knowledge about breast cancer risk factors and the effectiveness of other breast cancer screening methods. Additionally, providers tended to over-estimate their breast cancer screening knowledge and skills. For example, 69% believed that they could answer patients' questions about mammography, but only 23% were aware of Medicaid's reimbursement policy for the procedure. For some variables, attending physicians were no more knowledgeable than resident physicians. Our results reinforce the need for increased preventive care training in medical schools and primary care residency programs. Educational programs for providers serving disadvantaged populations might usefully focus on pragmatic issues such as institutional costs and public payor reimbursement policies. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 107264855 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Inner city primary care providers' breast cancer screening knowledge: implications for intervention. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Johnson+KM%22">Johnson KM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Taylor+VM%22">Taylor VM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lessler+D%22">Lessler D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thompson+B%22">Thompson B</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Goldberg+HI%22">Goldberg HI</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Community+Health%22">Journal of Community Health</searchLink>. Feb98, Vol. 23 Issue 1, p1-13. 13p. – Name: Abstract Label: Abstract Group: Ab Data: Low income and minority women continue to have relatively low breast cancer screening rates. Since physician recommendation is one of the most important determinants of mammography participation, we aimed to characterize the breast cancer screening knowledge of primary care providers serving a socially disadvantaged population. The study was conducted at the Adult Medicine Clinic of Seattle's county hospital. All attending physicians, resident physicians, and mid-level practitioners were asked to complete a questionnaire in the spring of 1995. Forty-nine of 52 (94%) eligible providers completed the survey. The respondents generally agreed with published guidelines for screening mammography use. In contrast, they had relatively low levels of knowledge about breast cancer risk factors and the effectiveness of other breast cancer screening methods. Additionally, providers tended to over-estimate their breast cancer screening knowledge and skills. For example, 69% believed that they could answer patients' questions about mammography, but only 23% were aware of Medicaid's reimbursement policy for the procedure. For some variables, attending physicians were no more knowledgeable than resident physicians. Our results reinforce the need for increased preventive care training in medical schools and primary care residency programs. Educational programs for providers serving disadvantaged populations might usefully focus on pragmatic issues such as institutional costs and public payor reimbursement policies. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1023/a:1018784319820 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 13 StartPage: 1 Titles: – TitleFull: Inner city primary care providers' breast cancer screening knowledge: implications for intervention. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Johnson KM – PersonEntity: Name: NameFull: Taylor VM – PersonEntity: Name: NameFull: Lessler D – PersonEntity: Name: NameFull: Thompson B – PersonEntity: Name: NameFull: Goldberg HI IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 02 Text: Feb98 Type: published Y: 1998 Identifiers: – Type: issn-print Value: 00945145 Numbering: – Type: volume Value: 23 – Type: issue Value: 1 Titles: – TitleFull: Journal of Community Health Type: main |
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