To refer or not to refer: Factors that affect primary care provider referral of patients with cancer to clinical treatment trials

J Cancer Educ. 2004 Spring;19(1):58-65. doi: 10.1207/s15430154jce1901_13.

Abstract

Background: Despite breakthroughs in experimental cancer treatment, relatively few patients participate in cancer clinical treatment trials (CCTTs). Primary care providers (PCPs) have a strong influence on patients' decisions to participate in a CCTT.

Methods: To determine factors that influence PCP referral of patients to CCTTs, we conducted a descriptive survey of 571 Michigan PCPs.

Results: Attendance at CCTT educational sessions consistently predicted referral. Provider attitudes regarding CCTT perceived knowledge, access, and comfort with responsibilities when patients were in a CCTT also predicted referral.

Conclusions: Findings support allocating funds to provide CCTT education to PCPs to increase numbers of patients willing to participate in CCTTs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Clinical Trials as Topic*
  • Cross-Sectional Studies
  • Education, Medical, Continuing
  • Female
  • Humans
  • Male
  • Michigan
  • Middle Aged
  • Neoplasms / therapy*
  • Patient Selection*
  • Practice Patterns, Physicians'*
  • Primary Health Care
  • Referral and Consultation*
  • Socioeconomic Factors