Differences in physician referral practices and attitudes regarding hereditary breast cancer by clinical practice location

Genet Med. Sep-Oct 2003;5(5):364-9. doi: 10.1097/01.gim.0000086477.00766.c9.

Abstract

Purpose: To compare physician referral practices and attitudes regarding hereditary breast cancer by clinical practice location.

Methods: A self-administered survey of 214 physicians in Ohio's tri-state region.

Results: Rural-practice physicians were less likely to have ever referred for an indication of hereditary breast cancer than urban- and suburban-practice physicians combined. Rural-practice physicians reported stronger barriers to referral, including distance, lack of awareness, lack of effective cancer risk reduction, and lack of patient interest.

Conclusion: These findings demonstrate a need for increased clinical genetics outreach, physician education, and public awareness of genetic services for hereditary breast cancer in rural areas.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel*
  • Breast Neoplasms / diagnosis*
  • Female
  • Genetic Testing
  • Health Services Accessibility / statistics & numerical data
  • Health Services Research
  • Humans
  • Physicians, Family / psychology*
  • Practice Patterns, Physicians' / statistics & numerical data*
  • Professional Practice Location / statistics & numerical data*
  • Referral and Consultation*
  • Rural Health Services / statistics & numerical data
  • Surveys and Questionnaires
  • Urban Health Services / statistics & numerical data