title: Comprehensive cancer screening in a primary care population: Gender differences in the impact of ambulatory care system factors.
abstract: There is a great deal to be learned about how factors within the context of primary care influence the provision of comprehensive preventive services. This study assessed the prevalence of cancer screening among a primary care population of men and women and examined the association of characteristics of the patient-physician relationship, the healthcare facility, and type of health insurance. Findings suggest that prevalence of comprehensive cancer screening is low, particularly among men. Characteristics of the patient-physician relationship are an important predictor of screening among women but not men. Among men, however, greater contact with the medical care system is important.
authors.affiliation: Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Ave N, Worcester, MA 01655, USA. Stephenie.Lemon@umassmed.edu
authors.forename: Stephenie C
authors.initials: SC
authors.lastname: Lemon
authors.forename: Jane G
authors.initials: JG
authors.lastname: Zapka
authors.forename: Elaine
authors.initials: E
authors.lastname: Puleo
mesh_terms: D000368:Aged; D000553:Ambulatory Care / Q000458:organization & administration*; D003191:Comprehensive Health Care / Q000458:organization & administration*; D005260:Female; D006304:Health Status; D006801:Humans; D019458:Insurance Coverage; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis*; D011320:Primary Health Care / Q000458:organization & administration*; D012959:Socioeconomic Factors; D014481:United States