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Physician Knowledge, Perceptions of Barriers, and Patient Colorectal Cancer Screening Practices

University of Maryland, School of Public Health, Department of Public and Community Health, College Park, Maryland

Cheryl L. Holt, PhD

Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, cholt14{at}umd.edu

Michele Shipp, MD, DrPH

College of Public Health, The Ohio State University, Columbus, Ohio

Mohamad Eloubeidi, MD

Department of Gastroenterology, School of Medicine, University of Alabama at Birmingham

Mona N. Fouad, MD, MPH

Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham

Kristi Britt, BS

Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham

Physician recommendation is a major determinant of colorectal cancer screening. The purpose of this study was to examine physician attitudes and self-reported colorectal cancer patient screening. In a physician survey, perceived patient barriers included preparation for the tests and patient dislike of the blood stool test. Physician semistructured interviews revealed that perception of patient barriers included cost, time off from work, and transportation. Most physicians reported low knowledge of insurance coverage for screening, and self-reported screening rates among physicians themselves were not optimal. Evidence-based interventions to increase physician recommendations for screening, such as reminder and tracking systems, may be of value. Interventions that target physician knowledge of insurance coverage and encourage physicians to adopt screening themselves could also be considered. (Am J Med Qual 2009;24:116-122)

Key Words: colorectal cancer • early detection • physician knowledge • physician recommendation

This version was published on March 1, 2009

American Journal of Medical Quality, Vol. 24, No. 2, 116-122 (2009)
DOI: 10.1177/1062860608328603


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