Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA 19107, USA.
CA Cancer J Clin. 2010 Jan-Feb;60(1):40-9. doi: 10.3322/caac.20048. Epub 2009 Dec 18.
The use of colonoscopy in colorectal cancer (CRC) screening has increased substantially in recent years. Media messages and changes in insurance reimbursement, as well as new screening guidelines from the American Cancer Society and the US Preventive Services Task Force, have contributed to this increase. Primary care providers (PCPs) are frequently responsible for making the recommendation and referral for screening. The process of successfully referring a patient for screening colonoscopy can be cumbersome and requires a coordinated effort between the PCP and the endoscopist. In recognition of the potential complexity of this process, the National Colorectal Cancer Roundtable has issued a report to describe the components of a quality screening colonoscopy referral system in primary care practice. The elements of a quality program include an optimal scheduling and referral system, the appropriate patient preparation information, consistent reporting and follow-up systems, and a detailed approach to dealing with special situations.
近年来，结肠镜检查在结直肠癌（CRC）筛查中的应用有了显著增加。媒体信息以及保险报销政策的变化，再加上美国癌症协会和美国预防服务工作组的新筛查指南，都促成了这一增长。初级保健提供者（PCP）通常负责提出筛查建议并进行转介。成功为患者推荐进行筛查结肠镜检查的过程可能很繁琐，需要 PCP 和内镜医生之间的协调努力。鉴于这一过程可能存在的复杂性，国家结直肠癌圆桌会议发布了一份报告，描述了初级保健实践中高质量筛查结肠镜检查转介系统的组成部分。一个高质量项目的要素包括最佳的预约和转介系统、适当的患者准备信息、一致的报告和随访系统，以及处理特殊情况的详细方法。
