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EDITORIAL A Challenge in Today’s Changing Practice of Medicine ANCER SCREENING examinations are rec- to institute, incorporate, and institutionalize a screen- ommended by many organizations, but ing program, as demonstrated by Dietrich et al. Provid- frequently they are not performed. On- ers have a major impact on what services are offered, and going National Cancer Institute– staff stability affects reliability of the activities. After pa- C funded research indicated the willing- tients are screened, physicians must be able to follow up ness of primary care practices to be involved in a project and refer those patients who need it, as a part of provid- that would increase their ability to provide early cancer ing quality medical care. detection services. Staff must be considered an essential part of any can- In 1990, the National Cancer Institute, through its cer screening office system that is implemented. The re- competitive process, awarded grants for intervention stud- searchers emphasize the detrimental impact on office poli- ies to increase screening rates in physicians’ practices. The cies and procedures when key physician and staff changes 5 studies are known as Prescribe for Health. These ma- occur. Having a committed and trained staff helps to as-
Archives of Family Medicine – American Medical Association
Published: Jul 1, 1998
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