Adoption of liquid-based cervical cancer screening tests by family physicians and gynecologists

Health Services Research
Karen M RappaportNeil A Holtzman

Abstract

To examine reasons for the adoption of liquid-based cervical cancer screening tests. A mailed survey of 250 family physicians and 250 gynecologists in Maryland in 2000. Additional data were obtained from the AMA Master File of Physicians. Key outcome variables in this cross-sectional survey were early adoption of a liquid-based test by the end of 1997 and overall adoption by the time of the survey. Adoption was viewed in terms of a supply and demand theoretical framework with marketing influencing physician and patient demand as well as supply by insurance companies and laboratories. Random samples of family physicians and gynecologists were selected from the AMA Master File of Physicians. The overall response rate was 61.9 percent. By 2000, 96 percent of gynecologists and 75 percent of family physicians in Maryland were using liquid-based cervical cancer screening tests, most commonly the ThinPrep Pap Test. Gynecologists were more likely than family physicians to have been early adopters (34 percent versus 5 percent, p<.01). Part of this variation in adoption was due to aggressive marketing to gynecologists, who were more likely than family physicians to receive information in the mail from the test manufacturer (89 percent ve...Continue Reading

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Citations

Aug 2, 2006·Obstetrics and Gynecology·Kathleen IrwinCharles Wolters
Nov 30, 2006·International Journal of Cancer. Journal International Du Cancer·Matejka ReboljDik Habbema
Apr 23, 2014·Journal of Evaluation in Clinical Practice·Ragnar WesterlingJohan P Mackenbach
Nov 11, 2009·Nature Reviews. Clinical Oncology·Elsebeth Lynge, Matejka Rebolj
Feb 28, 2013·Journal of Clinical Gastroenterology·Lena B PalmerPaul H Hayashi

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