Direct observation of counseling on colorectal cancer in rural primary care practices

Edward F. Ellerbeck, Kimberly K. Engelman, Joe Gladden, Michael C. Mosier, G. S. Raju, Jasjit S. Ahluwalia

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

To better understand colorectal cancer (CRC) screening practices in primary care, medical students directly observed physician-patient encounters in 38 physician offices. CRC was discussed with 14% of patients ≥50 years of age; 87% of discussions were initiated by the physician. The rate of discussions varied among the practices from 0% to 41% of office visits. Discussions were more common for new patient visits, with younger patients, and in the 24% of offices that utilized flow sheets. The frequency of CRC discussions in physician offices varies widely. More widespread implementation of simple office systems, such as flow sheets, is needed to improve CRC screening rates.

Original languageEnglish (US)
Article number1610697
Pages (from-to)697-700
Number of pages4
JournalJournal of General Internal Medicine
Volume16
Issue number10
DOIs
StatePublished - Jan 1 2001

Keywords

  • Colorectal cancer
  • Counseling
  • Patient education
  • Primary care physicians
  • Reminder systems
  • Rural communities

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    Ellerbeck, E. F., Engelman, K. K., Gladden, J., Mosier, M. C., Raju, G. S., & Ahluwalia, J. S. (2001). Direct observation of counseling on colorectal cancer in rural primary care practices. Journal of General Internal Medicine, 16(10), 697-700. [1610697]. https://doi.org/10.1046/j.1525-1497.2001.01224.x