Sarfaty Mona, Wender Richard
Department of Health Policy, Thomas Jefferson University, Philadelphia, PA, USA.
CA Cancer J Clin. 2007 Nov-Dec;57(6):354-66. doi: 10.3322/CA.57.6.354.
A recommendation from a physician is the most influential factor in determining whether a patient is screened for colorectal cancer. While the vast majority of primary care physicians report that they screen for colorectal cancer, many patients do not receive the recommendation they need. Evidence-based strategies can help the physician ensure that every appropriate patient leaves the office with the needed recommendation. Choosing an office system that can be implemented by the physician or office staff can fuel efforts to achieve higher screening rates. Reminder systems, tracking systems, communication strategies, and policies that reinforce use of evidence-based guidelines may contribute.
医生的建议是决定患者是否接受结直肠癌筛查的最具影响力的因素。虽然绝大多数初级保健医生报告称他们会进行结直肠癌筛查，但许多患者并未得到他们所需的建议。基于证据的策略可以帮助医生确保每位合适的患者都能带着所需的建议离开诊室。选择一种可由医生或办公室工作人员实施的办公系统有助于提高筛查率。提醒系统、跟踪系统、沟通策略以及强化循证指南使用的政策都可能有所帮助。
