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法国全科医生推广结直肠癌群体筛查的原因。

The reasons of general practitioners for promoting colorectal cancer mass screening in France.

作者信息

Berchi Célia, Dupuis Jean-Marc, Launoy Guy

机构信息

ERI3 INSERM Cancers and Populations, Caen, France.

出版信息

Eur J Health Econ. 2006 Jun;7(2):91-8. doi: 10.1007/s10198-006-0339-0.

Abstract

Implementation of colorectal cancer (CRC) mass screening is a public health priority. Obtaining the involvement of general practitioners (GPs) is crucial for ensuring participation by the general public. This study elicited GPs' reasons for promoting CRC screening. The method used was discrete choice modeling. Questionnaires with a set of pairs of hypothetical screening scenarios were sent to 700 GPs. Factors influencing GPs' screening practice were found to be: the effectiveness of the screening program, the proportion of false negatives and false positives, and their remuneration. Hence improving screening test sensitivity and setting up specific remuneration for conducting screening would help to increase GPs' participation in CRC screening in France.

摘要

实施结直肠癌(CRC)大规模筛查是一项公共卫生重点工作。让全科医生(GPs)参与其中对于确保公众参与至关重要。本研究探究了全科医生推广CRC筛查的原因。所采用的方法是离散选择建模。向700名全科医生发送了包含一系列假设筛查场景对的问卷。发现影响全科医生筛查行为的因素有:筛查项目的有效性、假阴性和假阳性的比例以及他们的报酬。因此,提高筛查测试的敏感性并为开展筛查设立特定报酬,将有助于增加法国全科医生参与CRC筛查的比例。

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