Physician communication regarding prostate cancer screening: Analysis of unannounced standardized patient visits

36Citations
Citations of this article
128Readers
Mendeley users who have this article in their library.

Abstract

Purpose Prostate cancer screening with prostate-specific antigen (PSA) is a controversial issue. The present study aimed to explore physician behaviors during an unannounced standardized patient encounter that was part of a randomized controlled trial to educate physicians using a prostate cancer screening, interactive, Web-based module. Methods Participants included 118 internal medicine and family medicine physicians from 5 health systems in California, in 2007-2008. Control physicians received usual education about prostate cancer screening (brochures from the Center for Disease Control and Prevention). Intervention physicians participated in the prostate cancer screening module. Within 3 months, all physicians saw unannounced standardized patients who prompted prostate cancer screening discussions in clinic. The encounter was audio-recorded, and the recordings were transcribed. Authors analyzed physician behaviors around screening: (1) engagement after prompting, (2) degree of shared decision making, and (3) final recommendations for prostate cancer screening. Results After prompting, 90% of physicians discussed prostate cancer screening. In comparison with control physicians, intervention physicians showed somewhat more shared decision making behaviors (intervention 14 items vs control 11 items, P

Cite

CITATION STYLE

APA

Feng, B., Srinivasan, M., Hoffman, J. R., Rainwater, J. A., Griffin, E., Dragojevic, M., … Wilkes, M. S. (2013). Physician communication regarding prostate cancer screening: Analysis of unannounced standardized patient visits. Annals of Family Medicine, 11(4), 315–323. https://doi.org/10.1370/afm.1509

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free