The relationship between attitude and intention toward oral cancer screening among physicians and dentists implementing oral mucosa inspection in Taiwan
Date Issued
2012
Date
2012
Author(s)
Yi Chen, Yu
Abstract
Abstract
Objectives
Malignant tumor since 1982, first among the ten leading causes of death in Taiwan in the Asian region is relatively low incidence of male oral cancer rate is worth the attention of the health units for the world several. National Health Council in 2010 to safeguard the health of citizens, and expand to promote the visual inspection of the oral mucosa, and through a variety of health communication pipeline, called on the people to the NHI contracted medical care institutions screening. That meet the oral mucosa screening, the initial intention and attitude of, to understand the screening bottlenecks and difficulties encountered.
Method
Qualitative research has been widely used in the field of Social Sciences and Humanities, basically analyzed and summarized (analytical-induction) as the main inference model, emphasizing the importance of subjectivity and context of the "people" in the social phenomena and interpretation of Then interview to collect more in-depth information, with the aim I have a greater free reply space, allows respondents cents unrestricted context, full and detailed telling of events, experience or express their views . Researchers used purposive sampling method, based on the principle of maximum variation sampling, endless mutually exclusive between the categories, so choose primary care, regional hospitals (district hospitals) and the Medical Center institutions at all levels of willingness and willingness to perform oral cancer screening, physicians conducted qualitative interviews (each party received 10 physicians), so that continuous data collection until data saturation before the end of the interview.
Results
A total of 21 study interviewers, researchers use depth interviews, content analysis, summarized presents an overview of the practical perspective, found that the implementation of the oral mucosa screening physician training, both dentists, otolaryngologists, and received oral mucosa training physicians, their professional capacity are to be strengthened; was also so indirectly caused by the performer rather than to produce medical risk because of worry about the implementation of the oral mucosa screening, resulting in the gap of medical manpower; addition is also found in the oral mucosa screening policy side promote the process, the referral system is not implemented with the current health care system and medical grade integration of medical resources depletion and production of complex contradictions between the grassroots and teaching medicine given task.
Conclusions
The researcher interviews at different levels and different divisions of the doctors, the spirit of recognition and affirmation of the Government in carrying out the oral mucosa screening of Practice on the surface to explore the many oral cancer patients through early diagnosis, early treatment is help to improve the patient''s future quality of life. Political unit for the national health policy, but how active use of the compulsory intervention of the policy implementation force; how to plan for the existing health care resources and make the appropriate configuration; how to make the public''s needs and health care utilization, more looking forward to this part of the issue, I hope oral mucosal screening policies to promote more thinking in this direction. In addition, medical education should follow the community''s health problems may be revised.
Subjects
oral cancer
oral mucosal screening
referral system
the medical classification system for medical education
SDGs
Type
thesis
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