Engagement of General Practice in an Australian Organised Bowel Cancer Screening Program: A Cross-Sectional Survey of Knowledge and Practice

Carol A. Holden, Oliver Frank, Ming Li, Ramesh Manocha, Joanna Caruso, Deborah Turnbull, Richard L. Reed, Caroline L. Miller, David Roder, Ian Olver

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    4 Citations (Scopus)
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    BACKGROUND: Understanding factors causing variation in family physicians/general practitioners (GPs) screening knowledge, understanding and support of organised population-based colorectal cancer (CRC) programs can direct interventions that maximise the influence of a CRC screening recommendation from a GP. This study aims to assess contextual factors that influence knowledge and quality improvement (QI) practice directed to CRC screening in Australian general practice. METHODS: A convenience sample of anonymous general practice staff from all Australian states and territories completed a web-based survey. Multivariate analyses assessed the association between CRC screening knowledge and QI-CRC practice scores and patient, organisational and environmental-level contextual factors.  Results: Of 1,013 survey starts, 918 respondents (90.6%) completed the survey. Respondents less likely to recommend FOBT screening had lower knowledge and QI practice scores directed to CRC screening. Controlling for individual and practice characteristics, respondents' rating of the Australian National Bowel Cancer Screening Program (NBCSP) support for preventive care, attending external education, and sufficient practice resources to implement QI practice (generally) were the strongest factors associated with QI practice directed towards CRC screening. Knowledge scores were less amenable to the influence of contextual factors explored. CONCLUSION: More active engagement of family medicine/general practice to improve screening promotion could be achieved through better QI resourcing without changing the fundamental design of population-based CRC screening programs.

    Original languageEnglish
    Pages (from-to)2099-2107
    Number of pages9
    JournalAsian Pacific journal of cancer prevention : APJCP
    Issue number7
    Publication statusPublished - Jul 2020

    Bibliographical note

    This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License.


    • colorectal cancer
    • mass screening
    • Primary Health Care
    • quality improvement
    • quantitative
    • Quality improvement
    • Primary health care
    • Colorectal cancer
    • Quantitative
    • Mass screening


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