Patients at elevated risk of melanoma: Individual predictors of non-compliance to GP referral for a dermatologist consultation
Abstract
Objective The aim of this study is to assess whether patients at elevated risk of melanoma attended a dermatologist consultation after a General Practitioner referral and to determine individual predictors of non-compliance.Method This survey included 1506 high-risk French patients (selected using the Self-Assessment Melanoma Risk Score) referred to a dermatologist between April and October 2011. Compliance was evaluated from January to April 2012, based on attendance at a dermatologist consultation (or scheduling an appointment). Demographic data and factors mapping the Health Belief Model were tested as correlates using a multivariate logistic regression.Results Compliance with referral was 58.4%. The top seven factors associated with non-compliance were as follows: GP advice to consult was unclear (OR=13.22; [7.66-23.56]); no previous participation in cancer screenings, including smear tests (OR=5.03; [2.23-11.83]) and prostate screening (OR=2.04; [1.06-3.97]); lack of knowledge that melanoma was a type of cancer (OR=1.94; [1.29-2.92]); and reporting no time to make an appointment (OR=2.08; [1.82-2.38]), forgetting to make an appointment (OR=1.26; [1.08-1.46]), long delays in accessing an appointment (OR=1.25; [1.12-1.41]), not being afraid of detecting something abnormal (OR=1.54; [1.35-1.78]), no need to consult a dermatologist to feel secure (OR=1.28; [1.09-1.51]).Conclusion Physicians should be aware of the factors predicting patient compliance with referrals for dermatologist consultations; better General Practitioner counseling might enhance compliance in high-risk populations.
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Various authors have reported difficulties in obtaining an appointment with a dermatologist.
“However, various authors have reported difficulties in obtaining an appointment with a dermatologist [12,14-17].”
From Use of Smartphones for Early Detection of Melanoma: Systematic Review (2018) · cites this paper as [12]
Numerous factors associated with a delayed diagnosis of melanoma are patient-related.
“Numerous factors associated with a delayed diagnosis are patient-related [4-12].”
From Use of Smartphones for Early Detection of Melanoma: Systematic Review (2018) · cites this paper as [12]
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Self-citation
- Authors
- Rat, C., Quereux, G., Monegier du Sorbier, M., Gaultier, A., Bonnaud-Antignac, A., Khammari, A., Dreno, B., & Nguyen, J. M.
- Affiliations
- Centre Hospitalier Universitaire de Nantes (FR)
- Centre National de la Recherche Scientifique (FR)
- Corresponding author
- Rat, Cédric
- ORCID
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2014-07
- Volume
- 64
- Pages
- 48-53
- ISSN
- 0091-7435 (ISSN-L)
- OpenAlex
- W2057759812
- Cited by
- 14
- References
- 34
- Citations by year
- 2024: 2 · 2023: 1 · 2021: 3 · 2020: 1 · 2018: 1 · 2017: 3 · 2015: 3
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- French National Institute of Health and Medical Research
- French Institute for Public Health Research
- Topics
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- melanoma, high-risk patients, referral compliance, dermatology consultation, general practitioner referral, Health Belief Model, cancer screening participation
- MeSH terms
- Adult, Counseling, Dermatology, Educational Status, Female, France, Humans, Health Knowledge, Attitudes, Practice, Male, Melanoma, Middle Aged, Occupations, Patient Compliance, Physician-Patient Relations, Practice Patterns, Physicians', Pilot Projects, Referral and Consultation, Time Factors, Risk Assessment, Early Detection of Cancer, General Practitioners
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