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Arch Dermatol. 2011 Jan;147(1):39-44. doi: 10.1001/archdermatol.2010.414.

Skin cancer screening by dermatologists, family practitioners, and internists: barriers and facilitating factors.

Author information

1
Memorial Sloan-Kettering Cancer Center, New York, NY 10022, USA. oliveri1@mskcc.org

Abstract

OBJECTIVE:

To determine barriers and facilitating factors to skin cancer screening practices among US primary care physicians and dermatologists.

DESIGN:

Survey.

SETTING:

Physicians randomly selected from the American Medical Association's Medical Marketing Services database from April 1 through November 30, 2005.

PARTICIPANTS:

A total of 2999 US dermatologists, family practitioners, and internists.

MAIN OUTCOME MEASURES:

Results based on 1669 surveys returned regarding practice characteristics, skin cancer screening behaviors, and barriers and facilitating factors to performing full-body skin examinations for patients.

RESULTS:

The overall response rate was 59.2%. More dermatologists (552 [81.3%]) reported performing full-body skin examinations on patients than did family practitioners (333 [59.6%]) (P < .05) or internists (243 [56.4%]) (P < .05). Among all physicians, time constraints, competing comorbidities, and patient embarrassment were reported as the top 3 barriers to performing full-body skin examinations, and these barriers were different among medical specialties. Among all physicians, having patients at high risk for skin cancer, patient demand for complete examination/mole check, and the influence of medical training were reported as facilitating factors to performing full-body skin examinations.

CONCLUSION:

Becoming more knowledgeable about physician barriers to skin cancer screening could help improve primary and secondary practices in both the primary care and dermatology settings.

PMID:
21242390
DOI:
10.1001/archdermatol.2010.414
[Indexed for MEDLINE]

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