KMID : 0384320070280010017
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Korean Journal of Family Medicine 2007 Volume.28 No. 1 p.17 ~ p.23
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Colorectal Cancer Screening Recommendations by Primary Care Physicians¡¯ in Seoul
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Lee Eun-Jung
Sung Eun-Ju Shin Ho-Chul Park Yong-Woo Kim Cheol-Hwan Kim Soo-Youn
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Abstract
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Background: Regular colorectal cancer (CRC) screening is known to reduce the CRC incidence and mortality. Health care providers can play a key role in recommending screening to healthy people. However, data on providers¡¯ CRC screening knowledge, attitude, and practice are sparse in Korea. We investigated primary care physicians¡¯ perception and performance of practice guidelines for CRC screening recommendations, and their view of barriers to physicians¡¯ adherence to guidelines.
Methods: A questionnaire was administered to 760 primary care physicians of internal medicine, general surgery, and family medicine in Seoul, Korea. The data were collected from March 2 to April 30, 2004, and those of 106 respondents (response rate 14%) were analyzed.
Results: Forty seven percent of respondents reported they recommended CRC screening. The most common screening test equipment in primary care settings was the fecal occults blood test (22.6%) followed by sigmoidoscopy (16.0%), colonoscopy (16.0%), and double contrast barium enema (10.4%). However, colonoscopy was recommended the most as a CRC screening method (54%) and only 43% of respondents complied with the interval indicated on the guidelines. Awareness (64.8%) and agreement (93.2%) to CRC screening recommendation by primary care physicians in Seoul, Korea was high, but the screening delivery was suboptimal. Many primary care physicians regarded patient-related factors were more important barriers of CRC screening than environment-related factors.
Conclusion: There were many barriers to physicians¡¯ guideline adherence. It may be useful to develop and improve guidelines in considerationt these barriers to establish appropriate cancer screening. (J Korean Acad Fam Med 2007;28:17-23)
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KEYWORD
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colorectal cancer, screening, primary care
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