PMID: 2496405Jan 1, 1989Paper

Obstacles to family practitioners' use of screening tests: determinants of practice?

Preventive Medicine
K A ResnicowR Massad

Abstract

The effect of nine obstacles on family physicians' screening practices is reported. Family physicians, responding to a survey of periodic health screening practices, were asked to check the obstacles that affected their use of the screening tests listed. In the survey, 129 members of the American Academy of Family Physicians and 146 members of the Society of Teachers of Family Medicine responded. The most frequently reported obstacles to screening were cost to the patient, patient refusal, inconvenience to the patient, and lack of facilities or equipment. The tests for which the most obstacles were reported were sigmoidoscopy, tonometry, and mammography. The Society of Teachers of Family Medicine physicians were more likely to list cost, patient reluctance, inconvenience to the patient, "the literature does not recommend to use the test," time to perform the tests, and high rate of false positives and negatives. American Academy of Family physicians were more likely to report two obstacles, lack of facilities or equipment and risk to the patient. An analysis of the relationship between obstacle report and test utilization indicated that for only five of the nine obstacles were physicians who listed the obstacle less likely to u...Continue Reading

References

Mar 17, 1977·The New England Journal of Medicine·L Breslow, A R Somers
Jan 1, 1988·Journal of Community Health·D H GemsonP Messeri
Jan 1, 1986·Toxicologic Pathology·R E Bulger
Mar 1, 1986·Medical Care·R N BattistaL A MacFarlane
Dec 21, 1970·JAMA : the Journal of the American Medical Association·B Bates, J Mulinare
Jul 1, 1984·Connecticut Medicine
Mar 1, 1984·American Journal of Public Health·A J Dietrich, H Goldberg
May 1, 1984·Canadian Anaesthetists' Society Journal·D R Biehl
Mar 25, 1983·JAMA : the Journal of the American Medical Association
Sep 1, 1983·American Journal of Public Health·R N Battista
Apr 8, 1982·The New England Journal of Medicine·R Fein

❮ Previous
Next ❯

Citations

Oct 17, 2012·Implementation Science : IS·Juliet Nabyonga OremBart Criel
Jan 1, 1993·Patient Education and Counseling·L L Dickey
Feb 2, 1994·Medical Care Review·H H Schauffler, T Rodriguez
Dec 1, 2003·Journal of Applied Oral Science : Revista FOB·Carlos Estrela, Roberto Holland

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.