Why are Korean American physicians reluctant to recommend colorectal cancer screening to Korean American patients? Exploratory interview findings.
BACKGROUND
Korean Americans have one of the lowest screening rates for colorectal cancer. Although physician recommendation is one of the most important predictors of cancer screening across populations, only few Korean American patients receive such a recommendation.


METHODS
We interviewed 14 Korean American physicians in Los Angeles area who primarily serve Korean Americans to explore why they are reluctant to recommend colorectal cancer screening to their Korean patients.


RESULTS
Physicians identified barriers attributable to themselves (i.e., lack of knowledge, fear of medicolegal liability), their patients (i.e., patient's unfamiliarity with the concept of screening), and the health care system (i.e., lack of referral network, poor reimbursement).


CONCLUSIONS
Our results suggest the need for multi-faceted interventions directed at the physicians, their patients, and the health care system. Further research is needed to validate our results and to assess the extent to which they apply to physicians from other racial/ethnic groups.
Jo
Angela M
AM
Department of Family Medicine, David Geffen School of Medicine, University of California, 10880 Wilshire Blvd., Suite 1800, Los Angeles, CA 90095, USA. ajo@mednet.ucla.edu
Maxwell
Annette E
AE
Rick
Albert J
AJ
Cha
Jennifer
J
Bastani
Roshan
R
D001213:Asian; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000208:ethnology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007723:Korea / Q000208:ethnology; D008297:Male; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology*; D010818:Practice Patterns, Physicians'; D012017:Referral and Consultation; D035502:Trust; D014481:United States / Q000453:epidemiology