参加曼尼托巴省乳房筛查项目的女性的满意度。

Satisfaction of women attending the Manitoba breast screening program.

作者信息

Decker K M, Harrison M, Tate R B

机构信息

Manitoba Breast Screening Program, 25 Sherbrook Street, Unit 5, Winnipeg, Manitoba, R3C 2B1, Canada.

出版信息

Prev Med. 1999 Jul;29(1):22-7. doi: 10.1006/pmed.1999.0497.

DOI:10.1006/pmed.1999.0497

PMID:10419795

Abstract

BACKGROUND

This study evaluated the satisfaction of women who attended the Manitoba Breast Screening Program (MBSP) during the first 17 months of operation and examined differences in satisfaction by screening location and screening result. The setting was the province of Manitoba, Canada.

METHODS

A breast screening program satisfaction questionnaire comprising six subscales was mailed to 1,331 randomly chosen women in five different categories who attended the MBSP. Four categories were based on location of screen (city of Brandon vs city of Winnipeg) and screen result (normal vs abnormal) and one category comprised women who were screened at a mobile unit. Eighty-eight percent of all questionnaires were returned. Data analyses included analyses of variance to examine the effect of location and result on satisfaction scores and logistic regression to explore the variables associated with reported satisfied and not satisfied responses to each satisfaction subscale.

RESULTS

All satisfaction scores were above 80 of 100, indicating high levels of satisfaction. A significant difference in satisfaction scores between women in Winnipeg and women in Brandon was found for the convenience and accessibility (P = 0.0153) and the information transfer subscales (P = 0.0150). A significant difference was found between women with abnormal and women with normal screen results for all subscales (P < 0.01). Women were 4.5 times more likely to be dissatisfied on the general satisfaction subscale if they had an abnormal screen result (95% CI 1.9,10.4).

CONCLUSIONS

High levels of satisfaction were reported for all aspects of screening at the MBSP. However, women were less likely to be satisfied with program convenience and accessibility. Women with an abnormal result reported lower levels of satisfaction on all subscales. Some women with an abnormal screening result were confused about what their results meant and why they were sent for additional diagnostic tests. As a result of these findings, numerous changes were made to the MBSP.

摘要

背景

本研究评估了在曼尼托巴省乳房筛查项目（MBSP）运营的前17个月中参与该项目的女性的满意度，并考察了筛查地点和筛查结果对满意度的影响。研究地点为加拿大曼尼托巴省。

方法

向随机选取的1331名参与MBSP的五类不同女性邮寄了一份包含六个分量表的乳房筛查项目满意度调查问卷。其中四类基于筛查地点（布兰登市与温尼伯市）和筛查结果（正常与异常），另一类包括在移动筛查单元接受筛查的女性。所有问卷的回复率为88%。数据分析包括方差分析，以考察地点和结果对满意度得分的影响；以及逻辑回归分析，以探究与每个满意度分量表中报告的满意和不满意回答相关的变量。

结果

所有满意度得分均高于满分100分中的80分，表明满意度较高。温尼伯市女性和布兰登市女性在便利性和可达性分量表（P = 0.0153）以及信息传递分量表（P = 0.0150）上的满意度得分存在显著差异。所有分量表中，筛查结果异常的女性和筛查结果正常的女性之间均存在显著差异（P < 0.01）。如果筛查结果异常，女性在总体满意度分量表上不满意的可能性高出4.5倍（95%置信区间1.9, 10.4）。