Diagnostic Confidence and Oral Cancer Screening: Insights From a Nationwide Cross-Sectional Study in Hungary

TL;DR

A study in Hungary found that confidence in diagnosis strongly influences healthcare professionals' oral cancer screening behaviors, with dentists more active than physicians.

Contribution

The study highlights the role of diagnostic self-confidence over knowledge in oral cancer screening practices among healthcare professionals.

Findings

Dentists and dental students had higher screening rates than physicians and medical students.

Online learning was the preferred format for education, despite its potential limitations in improving screening abilities.

Most professionals recognized knowledge gaps but few sought further training.

Abstract

Oral cancer screening is a critical preventive measure, yet various factors influence healthcare professionals’ willingness to engage in it. This nationwide cross-sectional study in Hungary examined the impact of diagnostic self-confidence, knowledge, and professional background on oral cancer screening and advisory behaviours among dentists, physicians, and clinical-grade medical and dental students.

A questionnaire-based survey was conducted among 803 participants to assess their screening practices, knowledge, confidence, and educational needs.

Results indicated that diagnostic self-confidence was a key determinant of both screening and advisory behaviours, surpassing the impact of objective knowledge. Dentists and dental students demonstrated higher screening rates compared to physicians and medical students, reflecting differences in educational emphasis. While most respondents acknowledged gaps in their oral cancer knowledge, relatively few expressed a strong interest in further training. Online learning emerged as the preferred educational format, suggesting that the methods professionals favour may not be optimal for enhancing their screening and advisory abilities.

These findings demonstrate the need for educational interventions that not only improve knowledge but also build confidence in early detection and patient communication. Future studies should explore training strategies that effectively bridge the gap between knowledge and practice, ensuring that healthcare professionals feel both prepared and motivated to engage in routine oral cancer screening and prevention efforts. Additionally, identifying barriers to participation in continuing education could help tailor learning opportunities that align with professional demands and time constraints. Understanding these factors is essential for optimizing oral cancer detection and reducing the burden of disease.

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