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Cancer education among primary care physicians in an underserved community
S Sheinfeld Gorin1, D Gemson, A Ashford
1Herbert Irving Comprehensive Cancer Center, New York Presbyterian Medical Center, New York, New York, USA.
American Journal of Preventive Medicine
|June 24, 2000
Summary
Educational visits improved urban primary care physicians' attitudes towards cancer prevention and screening. A dose-response relationship was observed, suggesting more contacts enhance practice changes.
Area of Science:
- Public Health
- Medical Education
- Health Disparities
Background:
- Urban minority populations, including those in North Manhattan, face disparities in cancer prevention and screening.
- Primary care physicians (PCPs) are crucial for patient counseling and ordering cancer screenings.
Purpose of the Study:
- To assess the impact of educational visits on PCPs' knowledge, attitudes, and practices regarding cancer prevention and screening.
- To evaluate the effectiveness of academic detailing in improving cancer care for underserved urban populations.
Main Methods:
- Eighty-four PCPs in intervention communities received educational visits; 38 PCPs in a control community did not.
- Pre- and post-test interviews over 18 months assessed physician knowledge, attitudes, and screening practices for breast, cervical, colorectal, and prostate cancers.
Main Results:
- No significant differences in knowledge of cancer prevention or screening between intervention and control groups.
- Intervention group physicians reported fewer practice barriers post-intervention (p<0.05).
- A positive dose-response relationship observed in physicians receiving three or more educational contacts.
Conclusions:
- Academic detailing led to significant attitude changes among urban PCPs in North Manhattan.
- Pre-test sensitization and small sample sizes may have obscured overall behavioral changes.
- Targeted interventions may be necessary to overcome barriers and improve cancer screening practices in underserved areas.
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