Physician perspectives on colorectal cancer surveillance care in a changing environment

Qual Health Res. 2015 Jun;25(6):831-44. doi: 10.1177/1049732315580557. Epub 2015 Apr 15.


The purpose of this formative qualitatively driven mixed-methods study was to refine a measurement tool for use in interventions to improve colorectal cancer (CRC) surveillance care. We employed key informant interviews to explore the attitudes, practices, and preferences of four physician specialties. A national survey, literature review, and expert consultation also informed survey development. Cognitive pretesting obtained participant feedback to improve the survey's face and content validity and reliability. Results showed that additional domains were needed to reflect contemporary interdisciplinary trends in survivorship care, evolving practice changes and current health policy. Observed dissonance in specialists' perspectives poses challenges for the development of interventions and psychometrically sound measurement. Implications for future research include need for a flexible care model with enhanced communication and role definitions among clinical specialists, improvements in surveillance at multilevels (patients, providers, and systems), and measurement tools that focus on multispecialty involvement and the changing practice and policy environment.

Keywords: cancer; instrument development; qualitative; research, mixed methods.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Attitude of Health Personnel*
  • Colorectal Neoplasms / prevention & control*
  • Colorectal Neoplasms / psychology*
  • Evaluation Studies as Topic*
  • Guideline Adherence
  • Health Knowledge, Attitudes, Practice
  • Health Services Research / statistics & numerical data*
  • Health Surveys
  • Humans
  • Medicine
  • Patient Compliance / psychology
  • Physicians / psychology*
  • Population Surveillance*
  • Psychometrics / statistics & numerical data
  • Qualitative Research*
  • Reproducibility of Results
  • Research Design*
  • South Carolina