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Primary care providers' views on a future lung cancer screening program.
Mary Ann O'Brien1, Diego Llovet2,3, Frank Sullivan1,4,5,6
1Department of Family and Community Medicine, University of Toronto, Toronto, Canada.
Family Practice
|November 6, 2018
Summary
Primary care providers are key to lung cancer screening programs. Their varied role preferences and information needs, particularly regarding benefits, harms, and smoking cessation, must be addressed for successful implementation.
Area of Science:
- Oncology
- Public Health
- Primary Care Medicine
Background:
- The National Lung Screening Trial confirmed low-dose computed tomography (LDCT) significantly reduces lung cancer mortality in high-risk individuals.
- Organized lung cancer screening programs are emerging, necessitating understanding of primary care provider (PCP) roles.
Purpose of the Study:
- To explore the role preferences and information requirements of PCPs within a prospective lung cancer screening program.
- To identify key considerations for integrating lung cancer screening into primary care.
Main Methods:
- Purposive sampling of PCPs from diverse Ontario health regions and practice models.
- Focus groups and nominal group process used to elicit informational priorities.
- Systematic coding of interview transcripts by two analysts.
Main Results:
- 34 PCPs and staff participated; generally positive but with varied views on involvement.
- Key informational needs included evidence on screening benefits and harms.
- Preference for a lung cancer screening model similar to existing breast cancer screening programs.
- Screening seen as an opportunity for smoking cessation counseling.
Conclusions:
- Lung cancer screening program development must accommodate diverse PCP role preferences.
- Integration with existing smoking cessation programs is essential.
- Development of learning materials and opportunities should involve PCPs to address their information needs.