Scott H D, DeBuono B A, Fulton J P, Smith R A, Feldman J P
J Public Health Policy. 1992 Spring;13(1):52-65.
The Rhode Island Department of Health has undertaken a Breast Cancer Screening Program which incorporates assessment, policy development, and assurance functions, following the model proposed in the Institute of Medicine (IOM) report, The Future of Public Health. With the community's help, projects have been implemented to increase screening capacity with dedicated, state-of-the-art equipment, to increase screening accessibility, to publicize the need for mammography, and to minimize false test results. In the program's first 15 months, the proportion of women ages 40 and over who were screened with mammography according to current guidelines increased from 35 to 46 percent (from 38 to 49 percent among women ages 40-49; from 31 to 43 percent among women ages 50 and over), including 15 percent who received their first screening mammogram. Providers' recommendations and knowledge of screening guidelines were important in explaining first-time use. The Department plans to apply the IOM model in other program areas. Its adoption by others is urged.
罗德岛州卫生部开展了一项乳腺癌筛查项目，该项目遵循医学研究所（IOM）报告《公共卫生的未来》中提出的模式，纳入了评估、政策制定和保障功能。在社区的帮助下，已实施了多个项目，以通过配备专用的先进设备来提高筛查能力，增加筛查的可及性，宣传乳房X光检查的必要性，并尽量减少错误的检测结果。在该项目开展的头15个月里，按照现行指南接受乳房X光检查的40岁及以上女性的比例从35%提高到了46%（40 - 49岁女性从38%提高到49%；50岁及以上女性从31%提高到43%），其中15%的女性接受了首次乳房X光筛查。提供者的建议和对筛查指南的了解对于解释首次使用情况很重要。该部门计划在其他项目领域应用IOM模式。敦促其他部门采用该模式。
