Division of Community Health Sciences-General Practice, University of Edinburgh, 20 West Richmond St., Edinburgh, UK.
Br J Cancer. 2009 Dec 3;101 Suppl 2(Suppl 2):S55-9. doi: 10.1038/sj.bjc.6605391.
Achieving adequate levels of uptake in cancer screening requires a variety of approaches that need to be shaped by the characteristics of both the screening programme and the target population. Strategies to improve uptake typically produce only incremental increases. Accordingly, approaches that combine behavioural, organisational and other strategies are most likely to succeed. In conjunction with a focus on uptake, providers of screening services need to promote informed decision making among invitees. Addressing inequalities in uptake must remain a priority for screening programmes. Evidence informing strategies targeting low-uptake groups is scarce, and more research is needed in this area. Cancer screening has the potential to make a major contribution to early diagnosis initiatives in the United Kingdom, and will best be achieved through uptake strategies that emphasise wide coverage, informed choice and equitable distribution of cancer screening services.
实现癌症筛查的充分参与需要采用多种方法，这些方法需要根据筛查计划和目标人群的特点进行调整。提高参与度的策略通常只能带来渐进式的增长。因此，结合行为、组织和其他策略的方法最有可能取得成功。除了关注参与度外，筛查服务提供者还需要在邀请者中促进知情决策。解决参与度不平等问题仍然是筛查计划的优先事项。针对低参与群体的策略的证据很少，因此在这一领域需要更多的研究。癌症筛查有可能为英国的早期诊断计划做出重大贡献，通过强调广泛覆盖、知情选择和公平分配癌症筛查服务的参与度策略，将最有效地实现这一目标。
