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- Title
Direct observation of counseling on colorectal cancer in rural primary care practices.
- Authors
Ellerbeck, Edward F.; Engelman, Kimberly K.; Gladden, Joe; Mosier, Michael C.; Raju, G. S.; Ahluwalia, Jasjit S.; Ellerbeck, E F; Engelman, K K; Gladden, J; Mosier, M C; Ahluwalia, J S
- Abstract
To better understand colorectal cancer (CRC) screening practices in primary care, medical students directly observed physician-patient encounters in 38 physician offices. CRC was discussed with 14% of patients >or=50 years of age; 87% of discussions were initiated by the physician. The rate of discussions varied among the practices from 0% to 41% of office visits. Discussions were more common for new patient visits, with younger patients, and in the 24% of offices that utilized flow sheets. The frequency of CRC discussions in physician offices varies widely. More widespread implementation of simple office systems, such as flow sheets, is needed to improve CRC screening rates.
- Subjects
KANSAS; COLON cancer; MEDICAL screening; RURAL medicine; PRIMARY care; RECTUM tumors; TUMOR prevention; COLON tumor prevention; COMPARATIVE studies; COUNSELING; HEALTH promotion; RESEARCH methodology; MEDICAL cooperation; PATIENT education; PHYSICIAN-patient relations; PRIMARY health care; RESEARCH; RURAL population; EVALUATION research; HEALTH care reminder systems
- Publication
JGIM: Journal of General Internal Medicine, 2001, Vol 16, Issue 10, p697
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1111/j.1525-1497.2001.01224.x