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更新后的建议,针对以客户和提供者为导向的干预措施,以增加乳腺癌、宫颈癌和结直肠癌的筛查。

Updated recommendations for client- and provider-oriented interventions to increase breast, cervical, and colorectal cancer screening.

出版信息

Am J Prev Med. 2012 Jul;43(1):92-6. doi: 10.1016/j.amepre.2012.04.008.

Abstract

The Community Preventive Services Task Force (Task Force) recommends increasing screening for breast cancer through use of group education, one-on-one education, client reminders, reducing client out-of-pocket costs, and provider assessment and feedback; increasing screening for cervical cancer through use of one-on-one education, client reminders, and provider assessment and feedback; and increasing screening for colorectal cancer through use of one-on-one education, client reminders, reducing structural barriers to screening, and provider assessment and feedback. The Task Force found insufficient evidence to determine the effectiveness of increasing screening for breast cancer through use of client incentives, mass media, or provider incentives; for cervical cancer screening through use of group education, client incentives, mass media, reducing client out-of-pocket costs, reducing structural barriers, or provider incentives; and for colorectal cancer screening through use of group education, client incentives, mass media, reducing client out-of-pocket costs, or provider incentives. Details of these findings, and some considerations for use, are provided in this article.

摘要

社区预防服务工作组(工作组)建议通过使用群体教育、一对一教育、客户提醒、降低客户自付费用以及提供评估和反馈来增加乳腺癌筛查;通过使用一对一教育、客户提醒和提供评估和反馈来增加宫颈癌筛查;并通过使用一对一教育、客户提醒、减少筛查的结构性障碍以及提供评估和反馈来增加结直肠癌筛查。工作组发现,没有足够的证据来确定通过使用客户激励、大众媒体或提供者激励来增加乳腺癌筛查的有效性;对于宫颈癌筛查,通过使用群体教育、客户激励、大众媒体、降低客户自付费用、减少结构性障碍或提供者激励;对于结直肠癌筛查,通过使用群体教育、客户激励、大众媒体、降低客户自付费用或提供者激励。这些发现的详细信息以及一些使用上的考虑因素在本文中提供。

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