Nguyen B H, Nguyen K P, McPhee S J, Nguyen A T, Tran D Q, Jenkins C N
Vietnamese Community Health Promotion Project, Department of Medicine, University of California, San Francisco 94102, USA.
J Cancer Educ. 2000 Summer;15(2):82-5. doi: 10.1080/08858190009528662.
To promote prevention and early detection of cancer, the authors conducted a three-year intervention targeting Vietnamese physicians in solo practice in California.
Twenty subjects who had received their medical training in Vietnam were recruited into a randomized controlled trial. The intervention included computerized or manual cancer screening reminders, continuing medical education seminars, Vietnamese-language health education materials, newsletters, and oncology data-query programs. Evaluation included chart audits for eight targeted activities pre- and post-intervention.
Before the intervention, annual physician performance rates were low for all eight activities: routine checkups (65.6%), Pap testing (13.8%), pelvic examinations (19.8%), clinical breast examinations (13.3%), mammography (6.4%), hepatitis B serologies (21.9%), hepatitis B immunizations (12.8%), and smoking cessation counseling (1.6%). After the intervention, performance rates increased significantly for smoking cessation counseling (p = 0.02), Pap testing (p = 0.004), and pelvic examinations (p = 0.01).
The results demonstrate the efficacy of an intervention targeting Vietnamese primary care physicians in promoting smoking cessation counseling, Pap testing, and pelvic examinations, but not other cancer prevention activities.
为促进癌症的预防和早期检测，作者针对加利福尼亚州独自执业的越南裔医生开展了一项为期三年的干预措施。
招募了20名在越南接受医学培训的受试者，纳入一项随机对照试验。干预措施包括计算机化或人工癌症筛查提醒、继续医学教育研讨会、越南语健康教育材料、时事通讯以及肿瘤学数据查询程序。评估包括在干预前后对八项目标活动进行病历审核。
在干预之前，所有八项活动的医生年度执行率都很低：常规体检（65.6%）、巴氏试验（13.8%）、盆腔检查（19.8%）、临床乳房检查（13.3%）、乳房X光检查（6.4%）、乙肝血清学检查（21.9%）、乙肝疫苗接种（12.8%）以及戒烟咨询（1.6%）。干预后，戒烟咨询（p = 0.02）、巴氏试验（p = 0.004）和盆腔检查（p = 0.01）的执行率显著提高。
结果表明，针对越南裔初级保健医生的干预措施在促进戒烟咨询、巴氏试验和盆腔检查方面有效，但对其他癌症预防活动无效。
