Table 1.
PCPs (N=980) |
Oncologists (N=1098) |
||||
---|---|---|---|---|---|
Na | % | Na | % | ||
Physician characteristics | |||||
Age | |||||
< 40 years old | 226 | 22.7 | 320 | 30.9 | |
40–49 years old | 324 | 33.8 | 293 | 28.9 | |
50–59 years old | 293 | 30.4 | 290 | 24.7 | |
60+ years old | 137 | 13.2 | 195 | 15.5 | |
Sex | |||||
Female | 330 | 36.1 | 285 | 27.2 | |
Male | 650 | 63.9 | 813 | 72.8 | |
Race | |||||
NH White | 686 | 70.9 | 710 | 63.1 | |
Asian | 165 | 15.0 | 289 | 28.1 | |
Other | 107 | 11.7 | 76 | 6.9 | |
Unknown | 22 | 2.3 | 23 | 2.0 | |
Income | |||||
Not salaried | 353 | 36.2 | 266 | 23.2 | |
Primarily fee-for-service | 388 | 40.2 | 465 | 41.7 | |
Primarily capitation | 134 | 13.0 | 118 | 11.4 | |
Salaried, not specified | 104 | 10.5 | 244 | 23.4 | |
Unknown | 1 | 0.1 | 5 | 0.4 | |
Country of training | |||||
U.S. | 725 | 76.7 | 739 | 64.6 | |
International | 255 | 23.3 | 359 | 35.4 | |
Practice characteristics | |||||
Volume of breast cancer patients (PCP/Oncologists) | |||||
0–5/year; 0–10/week | 238 | 24.4 | 343 | 31.8 | |
6–15/year; 11–20/week | 288 | 28.9 | 363 | 33.1 | |
16–25/year; 21–30/week | 181 | 19.6 | 204 | 17.9 | |
26+/year; 31+/week | 252 | 25.0 | 184 | 16.8 | |
Unknown | 21 | 2.0 | 4 | 0.4 | |
Practice size (number of physicians) | |||||
1 | 240 | 23.9 | 119 | 10.1 | |
2–5 | 408 | 43.1 | 422 | 39.1 | |
6–100+ | 316 | 31.4 | 538 | 49.0 | |
Unknown | 16 | 1.6 | 19 | 1.8 | |
Employment arrangement | |||||
Full/Part owner of physician practice | 526 | 54.8 | 512 | 45.0 | |
Employee of physician owned practice | 94 | 10.4 | 116 | 11.3 | |
Employee of large group/HMO | 182 | 17.5 | 113 | 10.6 | |
Employee of university hospital or clinic | 62 | 6.3 | 234 | 21.6 | |
Other | 111 | 10.7 | 112 | 10.1 | |
Unknown | 5 | 0.5 | 11 | 1.4 | |
EMR use | |||||
Paper records | 373 | 39.9 | 241 | 21.8 | |
Partial EMR | 124 | 13.2 | 207 | 19.0 | |
In transition from paper | 154 | 14.9 | 277 | 24.5 | |
Full EMR | 315 | 30.8 | 363 | 33.4 | |
Unknown | 14 | 1.3 | 10 | 1.3 | |
Proportion of uninsured patients | |||||
0–5% | 619 | 64.1 | 740 | 66.7 | |
6–25% | 273 | 27.4 | 231 | 20.6 | |
26–100% | 46 | 4.5 | 44 | 4.2 | |
Unknown | 42 | 4.0 | 83 | 8.5 | |
Teaching hospital affiliation | |||||
Yes | 394 | 41.1 | 569 | 51.9 | |
No | 580 | 58.4 | 527 | 48.0 | |
Unknown | 6 | 0.5 | 2 | 0.2 | |
Metropolitan Statistical Area (MSA) | |||||
≥ 1 million | 597 | 61.4 | 709 | 65.8 | |
All other MSAs | 383 | 38.6 | 389 | 34.2 | |
Physician attitudes and practices | |||||
PCP involvement in breast cancer surveillance testing (PCPs only) | |||||
Not Involved | 397 | 43.0 | |||
Co-manages (shared care) | 396 | 38.6 | |||
Provides | 81 | 17.7 | |||
Unknown | 6 | 0.7 | |||
Self-efficacy (confidence in knowledge of breast cancer surveillance testing) | |||||
Not at all confident | 55 | 6.4 | 5 | 0.5 | |
Somewhat confident | 506 | 51.8 | 157 | 14.6 | |
Very confident | 413 | 41.1 | 935 | 84.8 | |
Unknown | 6 | 0.7 | 1 | 0.1 | |
Perceived ambiguity about surveillance testing recommendationsb | |||||
Disagree | 179 | 19.2 | 377 | 34.6 | |
Don't know | 119 | 12.5 | 21 | 1.9 | |
Agree | 651 | 65.1 | 674 | 61.2 | |
Unknown | 31 | 3.2 | 26 | 2.3 | |
Defensive medicine (test ordering to protect against malpractice litigation) | |||||
Never | 133 | 14.2 | 202 | 18.9 | |
Rarely | 317 | 31.9 | 445 | 40.0 | |
Sometimes | 331 | 33.3 | 325 | 29.7 | |
Often | 130 | 13.3 | 95 | 8.6 | |
Almost Always | 25 | 2.4 | 11 | 1.0 | |
Unknown | 44 | 4.9 | 20 | 1.9 | |
Use of breast cancer survivorship care plans | |||||
Never | 118 | 12.0 | 43 | 3.9 | |
Rarely | 242 | 24.6 | 181 | 16.4 | |
Sometimes | 249 | 25.2 | 275 | 24.8 | |
Often | 206 | 21.1 | 306 | 27.4 | |
Almost Always | 152 | 15.8 | 271 | 25.0 | |
Unknown | 13 | 1.4 | 22 | 2.4 | |
Role Communicationc | |||||
Mean, SE | 3.15 | 0.04 | 3.88 | 0.04 |
N is the unweighted sample size and percents are weighted to the US population of physicians
Perceived ambiguity = belief in conflicting expert recommendations regarding appropriate management of breast cancer survivors
Role communication = aggregate measure (range 1–5) of self-reported extent of communication with patients and other physicians about which physician will follow patients for their cancer and other health problems
Data source: Survey of Physician Attitudes Regarding the Care of Cancer Survivors (SPARCCS)