Wolf Michael S, Satterlee Melissa, Calhoun Elizabeth A, Skripkauskas Silvia, Fulwiler Daniel, Diamond-Shapiro Linda, Alvarez Hugo, Eder Mickey, Mukundan Padmanabhan
Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, USA.
J Health Care Poor Underserved. 2006 Feb;17(1):47-54. doi: 10.1353/hpu.2006.0037.
Prevalence of physician recommendation and patient completion of colorectal cancer screening was investigated among Federally Qualified Health Centers (FQHC) serving low-income neighborhoods in Chicago. Medical records of 3,416 patients receiving primary care services at 1 of 31 FQHCs were randomly chosen for review. In all, 642 patients were identified by age and family history as eligible for colorectal cancer screening and included in this study. Patient demographic information and colorectal cancer screening history were collected. The physician screening recommendation rate was 9.2% (n=59); 7.0% (n=45) of patients were determined to have been appropriately screened for colorectal cancer, primarily by Fecal Occult Blood Test (94.1%, n=43). Among patients who received a recommendation from their physician, 76.2% had completed a screening test. Older patients were more likely than their younger counterparts to have received a recommendation from their physician (p<.05) and to have been screened (p<.01). Organizational interventions are needed to support physicians in medically underserved areas and to promote recommended screening practices.
在芝加哥为低收入社区服务的联邦合格健康中心（FQHC）中，对医生建议进行结直肠癌筛查的情况以及患者完成筛查的情况进行了调查。从31个FQHC中的1个接受初级保健服务的3416名患者的病历中随机抽取进行审查。总共，通过年龄和家族史确定642名患者符合结直肠癌筛查条件并纳入本研究。收集了患者的人口统计学信息和结直肠癌筛查史。医生的筛查建议率为9.2%（n = 59）；7.0%（n = 45）的患者被确定已接受适当的结直肠癌筛查，主要是通过粪便潜血试验（94.1%，n = 43）。在从医生那里获得建议的患者中，76.2%完成了筛查测试。老年患者比年轻患者更有可能从医生那里获得建议（p <.05）并接受筛查（p <.01）。需要采取组织干预措施来支持医疗服务不足地区的医生，并推广推荐的筛查做法。
