Year: 2015
Type: article
Study design: Observational Study
Abstract: Aims: This study explored family physicians’ (FPs) stated practices and decision-making for lung cancer screening.\nMethods: Cross-sectional survey of a stratified random sample of Saskatchewan FPs using single item questions and simulated clinical scenarios.\nFindings: Wide variations in FPs’ lung cancer screening practices exist in their decision to screen and choice of screening test. Certain physician, patient and non-medical factors influence FPs’ decision-making contrary to their perception of guidelines.\nConclusions: The high self-reported prevalence and measured inclination to screen in clinical scenarios contrary to prevailing guidelines adds unnecessary health care costs and has potential to cause harm.\nSignificance: First and unique study regarding lung cancer screening in family practice in Canada. It contributes to the literature about existing FP practices and decision-making regarding lung cancer screening and highlights implications to health care cost, patient care and CME initiatives.\nKeywords: Lung Cancer Screening, Decision-making, Clinical Practice Guidelines, Family Medicine.
Author: Nusrat Jamil
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2173671796