2010
DOI: 10.1007/s11606-010-1457-z
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Higher Physician Density is Associated with Lower Incidence of Late-stage Colorectal Cancer

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Cited by 68 publications
(54 citation statements)
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“…short time between the onset of symptoms and the final diagnosis of a disease) [9][10][11][12]. They have arrived at different conclusions [2][3][4][5][6][7][8]13]. This study followed a more refined approach than previous studies which focused on the incidence of non-rare diseases, by testing the postulate of availability of health resources and its association with delay in diagnosis by using outpatient and inpatient variables as elaborations of regional geographical health care structures.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…short time between the onset of symptoms and the final diagnosis of a disease) [9][10][11][12]. They have arrived at different conclusions [2][3][4][5][6][7][8]13]. This study followed a more refined approach than previous studies which focused on the incidence of non-rare diseases, by testing the postulate of availability of health resources and its association with delay in diagnosis by using outpatient and inpatient variables as elaborations of regional geographical health care structures.…”
Section: Discussionmentioning
confidence: 99%
“…higher physician densities, more health care centers) is associated with an increased level of health care quality for the population, and that this is due to better accessibility [1][2][3][4][5]. The concept of health care quality could be defined in two ways, as measurement of quality of outcomes (e.g.…”
Section: Introductionmentioning
confidence: 99%
“…[22][23][24][25][26] An increased density of primary care physicians and gastroenterologists in a given geographic region has been found to be inversely related to late-stage CRC diagnosis. 27 Increasing the number of physicians who provide colonoscopies could improve CRC screening rates and reduce both CRC incidence (through early adenoma detection and removal) and later-stage diagnosis. The quality indicators recommended by the American Society for Gastrointestinal Endoscopy (ASGE) 2 provide a benchmark for colonoscopy quality assessment.…”
mentioning
confidence: 99%
“…An adequate supply of primary care physicians had protective effects on breast cancer stage and survival in Ontario, 15 and higher physician density was associated with lower incidence of late-stage colorectal cancer in Pennsylvania. 16 Furthermore, physicians, with their medical networks and better access to proper care, have been shown to have better health outcomes then nonphysicians. Shen and colleagues reported that physicians are less likely to have or die of severe sepsis with acute severe infections, and better medical knowledge, higher disease awareness and easier access to health care were considered as related factors.…”
Section: Discussionmentioning
confidence: 99%
“…[9][10][11] Factors protecting people from advanced cancer stages include attending screening services [12][13][14] and access to physicians. 15,16 Delayed cancer diagnoses lead to poorer outcomes. We sought to compare the incident cancer stages of the 6 most common cancers between physicians and nonphysicians in Taiwan to determine whether physicians' cancers were diagnosed at earlier or later stages than nonphysicians' cancers.…”
mentioning
confidence: 99%