The role of family physicians in programs of early cancer detection

In terms of organization, two extreme early cancer detection program forms are possible, either that supplied by governmental and public health institutions, or that based on the central role of family physicians in program"s implementation. By working at the interface of the health care system and the population, family physicians are in the specific position that enables them an opportunity to promote a vast array of preventive activities, in a proactive and a patient-oriented manner (Summerton, 2002). That means that the doctor recognises medical needs of the groups and individuals, encourages them to take preventive measures and manages the screening protocols, in contrast to the approach where the doctor generally responds to the patient"s requests. Moreover, the possibility of having an insight into specific characteristics of each patient, enables family physicians to select an appropriate way to present the preventive measures to a patient, and to create activities, in order to improve patient" s uptake and adherence to screening (Figure 6) (NHS.UK, 2011).

There is a general assumption that prevention and early detection of cancer is insufficiently implemented in practice of family physicians. In most countries, family physicians are only partially involved, mainly through opportunistic screening (subjects are referred by a physician for screening outside the program supplied by public services), or only under certain conditions, such as rural and distant areas (Moss, 200, as cited in Majnaric-Trtica, 2008; NHS.UK, 2011). Randomised studies in which screenings on cancer, managed by family physicians, were explored, are scared and not of a large-scale, to allow general conclusions to be drawn on (Jellema, 2010).

Decision Stages and Corresponding Physician Message

Decision Stage

Physician Message

1. Never heard of CRC screening 1

1. Provide basic information about risk of CRC and benefits of screening

2. Heard of, but not considering CRC screening 1

2. Remind patient about risk and benefit of CRC screening. Discuss screening options.

3. Heard of and considering CRC screening 1

3. Assist patient to select a screening option. Help identify barriers and possible solutions.

4. Heard of and decided to do CRC screening

4. Discuss logistics. Ansver questions.

0. Decided against CRC screening

0. Probe for reasons and address them.

Fig. 6. Decision stages for colorectal cancer (CRC) screening

10 Ways To Fight Off Cancer

10 Ways To Fight Off Cancer

Learning About 10 Ways Fight Off Cancer Can Have Amazing Benefits For Your Life The Best Tips On How To Keep This Killer At Bay Discovering that you or a loved one has cancer can be utterly terrifying. All the same, once you comprehend the causes of cancer and learn how to reverse those causes, you or your loved one may have more than a fighting chance of beating out cancer.

Get My Free Ebook


Post a comment