Style | Physician Group | Total (n = 21) | Illustrative Quotations | |
---|---|---|---|---|
Low Screeners (n = 7) | High Screeners (n = 14) | |||
Engaged* | 5 (71.4) | 10 (71.4) | 15 (71.4) | Quote from engaged subject: “I learned a long time ago that a lot of times you can…what we now call “opportunistic care.” You know, I almost did a physical on someone that came in for elbow pain…try to click on this little screen and figure out whether their health maintenance is up…It's a little hobby on the side. All that screening and prevention is great. So the advantage is you feel like you are doing a good job. And for the patient, hopefully you catch a few patients and you do something positive. And on colon cancer you feel real good that it happened.” |
Nonengaged | 2 (28.6) | 4 (28.6) | 6 (28.6) | |
Dramatic† | 1 (14.3) | 10 (71.4) | 11 (52.4) | Quote from dramatic subject: “I had a woman who was about 56 or so who'd never had screening. And she had a sigmoidoscopy and they found a very small polyp that turned out to be cancerous. And she just had to have a short segment of her colon removed. And I said, “If she hadn't agreed to have this, by the time she'd finally been screened, it could've been too late.' So I have often used that as an example of why it's important to do it.” |
Nondramatic | 6 (85.7) | 4 (28.6) | 10 (47.6) | |
Directive‡ | 5 (71.4) | 3 (21.4) | 8 (38.1) | Quote from directive subject: “I initiate the screening discussion. Then I clarify information. Then I offer the best options for patients. And if they say, “Well, I'm not sure,' then I say, “I would recommend a flexible sigmoidoscopy.'” |
Nondirective | 2 (28.6) | 11 (78.6) | 13 (61.9) | |
Consequence messaging§ | 1 (14.3) | 9 (64.3) | 10 (47.6) | Quote using consequence messaging: “It's really pretty important. It's as good as mammography, or better, in a sense that if you catch this illness early, you're gonna get it cured….And it grows very slowly. And so, if you catch it early, you're definitely gonna be saved a miserable death. And we're all gonna go some time. But going with cancer's no good.” |
No consequence messaging | 6 (85.7) | 5 (35.7) | 11 (52.4) | |
Problem solver∥ | 2 (28.6) | 10 (71.4) | 12 (57.1) | Quote from problem solver: “The hardest part is the prep….So I usually tell my patients “Get a little Kool-Aid packet. Get the lemon one and sprinkle it on the top and chug-a-lug and it's not so bad.'” |
Nonproblem solver | 5 (71.4) | 4 (28.6) | 9 (42.9) |
Values provided as n (%).
↵* Engaged/nonengaged describe the enthusiasm the physician expressed for his/her beliefs about colorectal cancer (CRC) screening.
↵† Dramatic/nondramatic describe the type of descriptive language and patient stories that the physician reported using when discussing CRC screening with patients.
↵‡ Directive/nondirective describe the level of clarity the physician demonstrated in determining the agenda or providing information, advice, or recommendations about CRC screening.
↵§ Consequence messaging indicates that the physician warns the patient of the risk of death, disability, or surgery as a result of CRC.
↵∥ Problem solvers discuss a solution to identified barriers to CRC screening.