Organized colorectal cancer screening programmes: how to optimize efficiency among general practitioners.
Colorectal cancer (CRC) is an important public health issue in France, justifying a screening policy adapted to individual risk. The general practitioner (GP) is most commonly the initiator of CRC screening. The EDIFICE 2 survey, carried out in 2008 among 600 GPs, showed that 83% of GPs were convinced of the importance of screening, but that only 30% of GPs systematically recommended the procedure. The main underlying reasons were that only 50% of GPs declared themselves sufficiently trained, GPs needed clear guidelines and information supports for patients and a better implication in the programme's overall organization. This important role was confirmed by patients as the second most important reason for not undergoing screening: the absence of recommendation from their treating physician. The optimization of the screening procedure thus requires a stronger implication of GPs, by confirming their pivotal role in CRC screening and by relying on clear reference documentation guaranteeing quality assurance of a national organized screening programme.
Department of Cancer Screening, University Hospital Centre of Tours, France. jviguier@univ-tours.fr
Jérôme
J
Viguier
Anne
A
Calazel-Benque
François
F
Eisinger
Xavier
X
Pivot
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001364:Awareness / Q000502:physiology; D002277:Carcinoma / Q000175:diagnosis*; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D003625:Data Collection / Q000379:methods; D055088:Early Detection of Cancer / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D005602:France / Q000453:epidemiology; D058005:General Practitioners / Q000458:organization & administration / Q000592:standards / Q000706:statistics & numerical data; D006078:Government Programs / Q000458:organization & administration / Q000592:standards*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010465:Perception / Q000502:physiology; D010819:Physician's Role