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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Use of nonphysician health care providers for skin cancer screening in the primary care setting.
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Use of nonphysician health care providers for skin cancer screening in the primary care setting.

机译：在初级保健机构中使用非医师保健提供者进行皮肤癌筛查。

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BACKGROUND: Nonphysician health care providers are in an optimal position to provide cancer prevention and screening services. METHODS: We conducted a survey of primary care physicians to determine physician use and amenability to use of nonphysician health care providers to perform skin cancer screening in comparison with other cancer screening examinations. RESULTS: A total of 1,363 eligible physicians completed the survey. Of these, 631 physicians (46%) reported a nurse practitioner or physician assistant performing at least one type of cancer screening examination on their patients. Twenty-nine and 22% of all physicians reported nurse practitioners or physician assistants performing skin cancer screening, respectively. Family physicians were more likely to use nurse practitioners and physician assistants to perform these cancer screening examinations than internists (chi(2) test, P = 0.001 for each examination). Skin examinations were performed less frequently by nurse practitioners and physician assistants than all other cancer screening examinations. A total of 73-79% of family physicians and 60-70% of internists were amenable to having a nonphysician health care provider perform one or more of these examinations. CONCLUSIONS: Primary care physicians are currently utilizing nonphysician health care providers to perform cancer screening examinations and the majority of those surveyed are amenable to the use of these providers for such examinations. This suggests that one possible strategy for increasing skin cancer screening is through an expanded role of nonphysician health care providers.
机译：背景：非医师保健提供者处于提供癌症预防和筛查服务的最佳位置。方法：我们对初级保健医生进行了一项调查，以确定与其他癌症筛查检查相比，医生的使用情况以及使用非医师保健提供者进行皮肤癌筛查的意愿。结果：共有1,363名合格医生完成了调查。其中，631位医生（占46％）报告称，护士或执业助理医师对其患者进行了至少一种癌症筛查。在所有医师中，有29％和22％的医师分别报告进行皮肤癌筛查的护士或医师助理。与内科医师相比，家庭医师更倾向于使用护士执业医师和医师助理来进行这些癌症筛查检查（chi（2）检验，每次检查P = 0.001）。与所有其他癌症筛查检查相比，护士从业人员和医师助理进行皮肤检查的频率较低。共有73-79％的家庭医生和60-70％的内科医生愿意让非医生的医疗服务提供者进行一项或多项检查。结论：初级保健医生目前正在使用非内科医疗保健提供者来进行癌症筛查检查，接受调查的大多数人都适合使用这些提供者进行此类检查。这表明增加皮肤癌筛查的一种可能策略是通过扩大非医师保健提供者的作用。

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