Table 2 The CME effect on GPs’ attitude towards own role in cancer detection. The proportion of GPs responding most appropriately is shown for each of the items; one month before (Before) and seven months after (After) the CME. GPs are divided into two groups: CME-participating group and reference group. An effect within a group is shown as a risk ratio (RR0 for the Reference group; RR1 for the CME-participating group). Comparisons between groups are shown as ratio of risk ratios (RR1/RR0)
Reference group | CME-Participating group | Comparison between groups | ||||||
|---|---|---|---|---|---|---|---|---|
N = 121 | N = 81 | |||||||
Most appropriate answers | Before | After | Before vs. after | Before | After | Before vs. after | RR1/RR0 (p*) | |
% (n) | % (n) | RR0 (p*) | % (n) | % (n) | RR1 (p*) | |||
If a patient referred by me to a cancer fast-track pathway turns out not to have cancer, it is overuse of health services. | Strongly disagree - disagree | 86.8 (105) | 84.3 (102) | 0.97 (0.419) | 81.5 (66) | 87.7 (71) | 1.08 (0.163) | 1.11 (0.241) |
If a patient referred by me to a cancer fast-track pathway turns out not to have cancer, unnecessary strain has been placed on the patient. | Strongly disagree - disagree | 83.5 (101) | 79.3 (96) | 0.95 (0.221) | 75.3 (61) | 79.0 (64) | 1.05 (0.275) | 1.11 (<0.001) |
The more of the patients referred by me to a cancer fast-track pathway turn out to have cancer, the better a doctor I am. | Strongly disagree - disagree | 57.9 (70) | 62.0 (75) | 1.07 (0.224) | 59.3 (48) | 79.0 (64) | 1.33 (0.003) | 1.24 (0.013) |
I am a good doctor when I refer a patient to a cancer fast-track pathway based on a reasonable suspicion, as it quickly clarifies the suspicion. | Strongly agree- agree | 81.0 (98) | 81.8 (99) | 1.01 (0.823) | 86.4 (70) | 82.7 (67) | 0.96 (0.397) | 0.95 (0.537) |
I am reluctant to order tests because of the risk of over-diagnosis. | Strongly disagree - disagree | 75.2 (91) | 75.2 (91) | 1.00 (1.000) | 71.6 (58) | 75.3 (61) | 1.05 (0.308) | 1.05 (0.314) |
I find it hard to mention cancer suspicion to a patient with alarm symptoms of cancer. | Strongly disagree - disagree | 81.0 (98) | 83.5 (101) | 1.03 (0.402) | 74.1 (60) | 75.3 (61) | 1.02 (0.704) | 1.00 (0.813) |
I feel well prepared to communicate with the cancer pathway coordinators. | Strongly agree- agree | 82.6 (100) | 78.5 (95) | 0.95 (0.224) | 79.0 (64) | 77.8 (63) | 0.98 (0.806) | 1.03 (0.697) |