Skin cancer screening by dermatologists, family practitioners, and internists: Barriers and facilitating factors Journal Article
| Authors: | Oliveria, S. A.; Heneghan, M. K.; Cushman, L. F.; Ughetta, E. A.; Halpern, A. C. |
| Article Title: | Skin cancer screening by dermatologists, family practitioners, and internists: Barriers and facilitating factors |
| Abstract: | Objective: To determine barriers and facilitating factors to skin cancer screening practices among US primary care physicians and dermatologists. Design: Survey. Setting: Physicians randomly selected from the American Medical Association's Medical Marketing Services database from April 1 through November 30, 2005. Participants: A total of 2999 US dermatologists, family practitioners, and internists. Main Outcome Measures: Results based on 1669 surveys returned regarding practice characteristics, skin cancer screening behaviors, and barriers and facilitating factors to performing full-body skin examinations for patients. Results: The overall response rate was 59.2%. More dermatologists (552 [81.3%]) reported performing full-body skin examinations on patients than did family practitioners (333 [59.6%]) (P<.05) or internists (243 [56.4%]) (P<.05). Among all physicians, time constraints, competing comorbidities, and patient embarrassment were reported as the top 3 barriers to performing full-body skin examinations, and these barriers were differentamongmedical specialties.Amongall physicians, having patients at high risk for skin cancer, patient demand for complete examination/mole check, and the influence of medical training were reported as facilitating factors to performing full-body skin examinations. Conclusion: Becoming more knowledgeable about physician barriers to skin cancer screening could help improve primary and secondary practices in both the primary care and dermatology settings. ©2011 American Medical Association. All rights reserved. |
| Keywords: | major clinical study; randomized controlled trial; skin cancer; cancer screening; specialization; professional practice; statistical analysis; skin examination; comorbidity; general practitioner; primary medical care; dermatologist; internist |
| Journal Title: | Archives of Dermatology |
| Volume: | 147 |
| Issue: | 1 |
| ISSN: | 0003-987X |
| Publisher: | American Medical Association |
| Date Published: | 2011-01-01 |
| Start Page: | 39 |
| End Page: | 44 |
| Language: | English |
| DOI: | 10.1001/archdermatol.2010.414 |
| PROVIDER: | scopus |
| PUBMED: | 21242390 |
| DOI/URL: | |
| Notes: | --- - "Export Date: 4 March 2011" - "CODEN: ARDEA" - "Source: Scopus" |
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