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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Lung cancer screening: Practice guidelines and insurance coverage are not enough
Journal of the American Association of Nurse Practitioners, v 31(1), pp 33-45
01 Jan 2019
PMID: 30431549
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Low-dose computed tomography (LDCT) is expected to increase early detection of lung cancer and improve survival. The growth in the number of advanced nurse practitioners (NPs) in primary care settings increases the likelihood that an NP will serve as a patient's provider. This study's purpose was to examine knowledge, attitudes, and practices regarding LDCT among NPs who work in primary care settings.
An explanatory, sequential, mixed-method design used a 32-item questionnaire, followed by a semi-structured telephone interview. The development of the survey and interview questions were guided by a conceptual framework representing a temporal sequence for behavior change and potential barriers to guideline adherence.
Nurse practitioners believe that shared decision making with their high-risk patients about LDCT is within their scope of their practice. Working in time-constrained primary care settings, NPs have limited abilities to improve the uptake of LDCT. Substantial patient barriers exist that deter follow through on providers' recommendation. Disseminating guidelines and authorizing health insurance reimbursement is insufficient.
Research is needed that investigates the screening process so that barriers can be closely studied. Culture change is needed where early detection has greater value for insurers, providers, and patients.
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Details
- Title
- Lung cancer screening: Practice guidelines and insurance coverage are not enough
- Creators
- Karen Kane McDonnell - University of South CarolinaRobin Dawson Estrada - University of South CarolinaAmy Clark Dievendorf - University of South CarolinaLauren Blew - University of South CarolinaErica Sercy - University of South CarolinaSamira Khan - University of South CarolinaJames W Hardin - University of South CarolinaDeborah Warden - University of South CarolinaJan M Eberth - University of South Carolina
- Publication Details
- Journal of the American Association of Nurse Practitioners, v 31(1), pp 33-45
- Publisher
- Lippincott
- Grant note
- K23 HL133596 / NHLBI NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000464058600007
- Scopus ID
- 2-s2.0-85059798783
- Other Identifier
- 991021855180904721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Health Care Sciences & Services
- Nursing