Use of nonphysician health care providers for skin cancer screening in the primary care setting Journal Article


Authors: Oliveria, S. A.; Altman, J. F.; Christos, P. J.; Halpern, A. C.
Article Title: Use of nonphysician health care providers for skin cancer screening in the primary care setting
Abstract: Background. Nonphysician health care providers are in an optimal position to provide cancer prevention and screening services. Methods. We conducted a survey of primary care physicians to determine physician use and amenability to use of nonphysician health care providers to perform skin cancer screening in comparison with other cancer screening examinations. Results. A total of 1,363 eligible physicians completed the survey. Of these, 631 physicians (46%) reported a nurse practitioner or physician assistant performing at least one type of cancer screening examination on their patients. Twenty-nine and 22% of all physicians reported nurse practitioners or physician assistants performing skin cancer screening, respectively. Family physicians were more likely to use nurse practitioners and physician assistants to perform these cancer screening examinations than internists (X2 test, P = 0.001 for each examination). Skin examinations were performed less frequently by nurse practitioners and physician assistants than all other cancer screening examinations. A total of 73-79% of family physicians and 60-70% of internists were amenable to having a nonphysician health care provider perform one or more of these examinations. Conclusions. Primary care physicians are currently utilizing nonphysician health care providers to perform cancer screening examinations and the majority of those surveyed are amenable to the use of these providers for such examinations. This suggests that one possible strategy for increasing skin cancer screening is through an expanded role of nonphysician health care providers. © 2002 American Health Foundation and Elsevier Science (USA).
Keywords: controlled study; united states; sensitivity and specificity; physician's practice patterns; skin neoplasms; odds ratio; cancer screening; mass screening; skin carcinoma; questionnaires; confidence intervals; professional practice; clinical competence; probability; screening; skin examination; health care personnel; physician; general practitioner; primary medical care; health care surveys; primary health care; human experiment; internal medicine; nurse practitioners; nurse; physician assistant; primary care physicians; physician assistants; humans; human; male; female; priority journal; article
Journal Title: Preventive Medicine
Volume: 34
Issue: 3
ISSN: 0091-7435
Publisher: Elsevier Inc.  
Date Published: 2002-03-01
Start Page: 374
End Page: 379
Language: English
DOI: 10.1006/pmed.2001.0995
PUBMED: 11902855
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 14 November 2014 -- Source: Scopus
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MSK Authors
  1. Allan C Halpern
    297 Halpern
  2. Jamie F Altman
    5 Altman