The role of primary care physicians and nurses in convincing patients to participate in a colorectal cancer screening program in a Polish coordinated care organization: a questionnaire-based study
Journal Title: Medical Science Pulse - Year 2019, Vol 13, Issue 2
Abstract
Background: Medical assistants/care coordinators play a crucial role in the coordinated care system. The tasks of nurses and some qualified supporting staff have been extended to include this role along with the implementation of the pilot program POZ Plus in Polish primary healthcare. A personalized approach to the patient is especially important during the implementation of large-scale prevention programs. Aim of the study: To assess who has the greatest influence on the patient’s decision to undergo screening colonoscopy and outline the current and potential roles of nurses in this process. Material and methods: This questionnaire-based study was conducted at the coordinated care facility Medical and Diagnostic Center (CMD) in Siedlce, Poland between March 1st and June 15th, 2017. Results: 138 patients participated in the study. The majority (75; 54.4%) reported they were directly convinced to undergo colonoscopy by a primary care physician. 18 (13.0%) were convinced by a nurse, and 22 (15.9%) by another specialist. The remaining (23; 16.7%) patients indicated other factors. The majority of patients (74; 53.6%) responded saying that all necessary information about the entire test course was provided by the nurse, while 35 (25.4%) shared that this information had come from the primary care physician, 8 (5.80%) from the specialist doctor, 3 (2.17%) from the receptionist and 18 (13.0%) from other sources of information, such as the Internet, leaflets and notice boards. Conclusions: We found that primary care physicians at this institution have an important role in convincing patients to undergo preventive colonoscopy, while nurses provide key information to patients on the preparation and the course of this procedure. Although the current model seems to be effective in a coordinated care setting, there may be still a place for nurse care coordinators to take on some tasks previously performed by doctors.<br/><br/>
Authors and Affiliations
Marika Guzek, Sylwia Szafraniec-Buryło, Adrianna Wyrębiak, Dorota Kowalczyk, Grzegorz Bukato, Artur Prusaczyk, Paweł Żuk, Marcin Czech, Donata Kurpas
Keywords
Related Articles
- EP ID EP609348
- DOI 10.5604/01.3001.0013.2986
- Views 130
- Downloads 0
Prevalence of bronchial asthma and respiratory symptoms in a group of students from grodno. An example of standardized epidemiological survey
Introduction: Due to an insufficient knowledge of the real asthma prevalence rate among children and adults in Belarus, we conducted a population-based respiratory health survey.Aim of the study: The study aimed at esti...
Impact of systemic cryotherapy on physical fitness
Background: Systemic cryotherapy has broad effects on the human body. These include improved immunity, accelerated tissue regeneration, activation of thermoregulatory mechanisms, analgesic effects, and reduced muscle ten...
Assessment of the impact of Hold-Relax and Contract-Relax techniques on the compression pain threshold in patients with lateral humeral epicondylitis
Background. The method of proprioceptive neuromuscular paving (PNF) is unique in that it has its own principles of working with the patient. The overriding therapeutic goal during PNF therapy is to work on a lost functio...
Airway management – a review of current methods, guidelines and equipment
Maintaining airway patency is an essential issue in many fields of medicine. The modern approach to CPR, which focuses on maintaining airway, breathing, and circulation was finally established by Peter Safar in his book...
The problem of headache and professional work of nurses
Introduction: Every day some of us experience headaches. A lot of people don’t realize, that this individual headache. Inseparable part of our lives is work. It requires a lot of commitment from us. in contrast, the head...