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. 1995 Jun;85(6):795–800. doi: 10.2105/ajph.85.6.795

Cancer screening by primary care physicians: a comparison of rates obtained from physician self-report, patient survey, and chart audit.

D E Montaño 1, W R Phillips 1
PMCID: PMC1615496  PMID: 7762712

Abstract

OBJECTIVES. This study measured the cancer screening rates of family physicians and compared the measures obtained through physician self-reports, chart audits, and patient surveys. METHODS. A cancer screening survey was sent to 50% of the members of the Washington Academy of Family Physicians, with 326 family physicians (74% response rate) completing the survey. Sixty physicians were recruited for the patient survey and chart audit phase, with a 90% participation rate. Patient surveys were conducted with about 350 patients per physician, and chart audits were conducted on a subset of about 50 patients per physician. Each physician's rate of providing each service was computed from the self-report, the patient survey, and the chart audit. RESULTS. Physicians provided many of these services at rates different from those commonly recommended. Large discrepancies were found between the rates measured by different methods. Correlations between rates derived from chart audits and patient surveys were high; however, correlations between rates from physician self-report and either patient survey or chart audit were much lower for all services. CONCLUSIONS. Studies of physicians' provision of cancer prevention services should not rely on physician self-report, but should obtain the rates through patient surveys or chart audits.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bassett L. W., Bunnell D. H., Cerny J. A., Gold R. H. Screening mammography: referral practices of Los Angeles physicians. AJR Am J Roentgenol. 1986 Oct;147(4):689–692. doi: 10.2214/ajr.147.4.689. [DOI] [PubMed] [Google Scholar]
  2. Battista R. N., Williams J. I., MacFarlane L. A. Determinants of primary medical practice in adult cancer prevention. Med Care. 1986 Mar;24(3):216–224. doi: 10.1097/00005650-198603000-00004. [DOI] [PubMed] [Google Scholar]
  3. Dietrich A. J., Goldberg H. Preventive content of adult primary care: do generalists and subspecialists differ? Am J Public Health. 1984 Mar;74(3):223–227. doi: 10.2105/ajph.74.3.223. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Dietrich A. J., O'Connor G. T., Keller A., Carney P. A., Levy D., Whaley F. S. Cancer: improving early detection and prevention. A community practice randomised trial. BMJ. 1992 Mar 14;304(6828):687–691. doi: 10.1136/bmj.304.6828.687. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Fox S., Tsou C. V., Klos D. S. An intervention to increase mammography screening by residents in family practice. J Fam Pract. 1985 May;20(5):467–471. [PubMed] [Google Scholar]
  6. Gemson D. H., Elinson J. Prevention in primary care: variability in physician practice patterns in New York City. Am J Prev Med. 1986 Jul-Aug;2(4):226–234. [PubMed] [Google Scholar]
  7. Lane D. S., Polednak A. P., Burg M. A. Effect of continuing medical education and cost reduction on physician compliance with mammography screening guidelines. J Fam Pract. 1991 Oct;33(4):359–368. [PubMed] [Google Scholar]
  8. Lurie N., Slater J., McGovern P., Ekstrum J., Quam L., Margolis K. Preventive care for women. Does the sex of the physician matter? N Engl J Med. 1993 Aug 12;329(7):478–482. doi: 10.1056/NEJM199308123290707. [DOI] [PubMed] [Google Scholar]
  9. McPhee S. J., Bird J. A., Fordham D., Rodnick J. E., Osborn E. H. Promoting cancer prevention activities by primary care physicians. Results of a randomized, controlled trial. JAMA. 1991 Jul 24;266(4):538–544. [PubMed] [Google Scholar]
  10. McPhee S. J., Richard R. J., Solkowitz S. N. Performance of cancer screening in a university general internal medicine practice: comparison with the 1980 American Cancer Society Guidelines. J Gen Intern Med. 1986 Sep-Oct;1(5):275–281. doi: 10.1007/BF02596202. [DOI] [PubMed] [Google Scholar]
  11. Montano D. E., Manders D. B., Phillips W. R. Family physician beliefs about cancer screening. Development of a survey instrument. J Fam Pract. 1990 Mar;30(3):313–319. [PubMed] [Google Scholar]
  12. Schwartz J. S., Lewis C. E., Clancy C., Kinosian M. S., Radany M. H., Koplan J. P. Internists' practices in health promotion and disease prevention. A survey. Ann Intern Med. 1991 Jan 1;114(1):46–53. doi: 10.7326/0003-4819-114-1-46. [DOI] [PubMed] [Google Scholar]
  13. Turner B. J., Day S. C., Borenstein B. A controlled trial to improve delivery of preventive care: physician or patient reminders? J Gen Intern Med. 1989 Sep-Oct;4(5):403–409. doi: 10.1007/BF02599691. [DOI] [PubMed] [Google Scholar]

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