Self-reported screening practices of family physicians participating in the colorectal cancer screening program of the canton of Vaud: a cross-sectional study.

摘要: The organized colorectal cancer (CRC) screening program in the canton of Vaud, Switzerland offers citizens choice faecal immunochemical test (FIT) or colonoscopy via a visit with family physician (FP). Given central role FPs program, this study aimed to compare their self-reported preventive practices objectives namely inform patients about CRC and present FIT, identify factors associated presenting tests. Mixed-methods using an online survey semi-structured interviews. Participants were from Vaud who had included ≥1 patient program. We used multivariate logistic regression offering only those offered tests FIT. participation rate was 40% (177 respondents / 443 eligible). Most (68%) reported informing more than 75% eligible Lack time (n = 86, 33%) principal reason cited for not patients. Regarding methods, 20% (n = 36) prescribed colonoscopy, 13% (n = 23) FIT 65% (n = 115) both methods. Predictors rather included: first, FP reporting that they chose/would choose themselves (OR 8.54 [95% CI 1.83–39.79, P   20 years practice 4.8 1.3–0.17.66, P = 0.02]); third, seeing 300 per month 3.05 1.23–7.57, P = 0.02]). When asked what could improve 17% (n = 31) wrote should be informed advance by postal mail large-scale communication campaign. majority consistent However, ensure are well save time, all need systematically Further, encouraged offer