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Qual Health Res. 2015 Jun;25(6):831-44. doi: 10.1177/1049732315580557. Epub 2015 Apr 15.

Physician perspectives on colorectal cancer surveillance care in a changing environment.

Author information

1
Medical University of South Carolina, Charleston, South Carolina, USA zapka@musc.edu.
2
Medical University of South Carolina, Charleston, South Carolina, USA.
3
University of Massachusetts Medical School, Worcester, Massachusetts, USA.

Abstract

The purpose of this formative qualitatively driven mixed-methods study was to refine a measurement tool for use in interventions to improve colorectal cancer (CRC) surveillance care. We employed key informant interviews to explore the attitudes, practices, and preferences of four physician specialties. A national survey, literature review, and expert consultation also informed survey development. Cognitive pretesting obtained participant feedback to improve the survey's face and content validity and reliability. Results showed that additional domains were needed to reflect contemporary interdisciplinary trends in survivorship care, evolving practice changes and current health policy. Observed dissonance in specialists' perspectives poses challenges for the development of interventions and psychometrically sound measurement. Implications for future research include need for a flexible care model with enhanced communication and role definitions among clinical specialists, improvements in surveillance at multilevels (patients, providers, and systems), and measurement tools that focus on multispecialty involvement and the changing practice and policy environment.

KEYWORDS:

cancer; instrument development; qualitative; research, mixed methods

PMID:
25878188
PMCID:
PMC5973790
DOI:
10.1177/1049732315580557
[Indexed for MEDLINE]
Free PMC Article

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