Incongruence between Physician, Patient, and Medical Chart Report of Skin Cancer Prevention Counseling

Natalie H. Matthews, Augustine W. Kang, Martin A. Weinstock and Patricia Markham Risica
Additional contact information
Natalie H. Matthews: Department of Dermatology, University of Michigan School of Medicine, University of Michigan, Ann Arbor, MI 48109, USA
Augustine W. Kang: Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI 02903, USA
Martin A. Weinstock: Department of Dermatology, The Warren Alpert Medical School, Brown University, Providence, RI 02903, USA
Patricia Markham Risica: Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI 02903, USA

IJERPH, 2022, vol. 19, issue 11, 1-7

Abstract: Skin cancer incidence in the United States has risen rapidly in recent decades, underscoring the need for accessible and effective prevention practices. Skin cancer prevention counseling can lead to increased sun protective behavior and early detection; however, little is understood regarding the frequency and content of counseling among primary care providers (PCPs). We performed multi-center cross-sectional surveys among 53 providers and 3343 of their patients and chart review asking whether skin cancer prevention counseling occurred and details of that counseling. Only 10–25% of patients reported that counseling occurred. Among the providers who reported counseling, there were higher odds that their patients recollected they were advised to use sunscreen or protective clothing, on how to use sunscreen, on signs of skin cancer, to perform a self-skin exam (all p < 0.001), and were provided with written materials ( p < 0.01). Eight percent of prevention counseling was chart documented despite being highly associated with patient and physician recollection of counseling ( p < 0.001). These results highlight the need for consistent and clear delivery of skin cancer primary prevention.

Keywords: skin cancer; primary prevention; counseling; melanoma; keratinocyte carcinoma; nonmelanoma skin cancer (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/11/6853/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/11/6853/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:11:p:6853-:d:831212

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().