Prout M N, Heeren T C, Barber C E, Rose L, Morris S G, Hurley C, Geller A C, Witzburg R A, Koh H K
Section of Epidemiology and Biostatistics, Boston University School of Public Health, Massachusetts 02118.
Am J Prev Med. 1990 Mar-Apr;6(2):77-83.
One hundred thirty incident cases of head and neck cancer in Boston between September 1, 1985, and March 31, 1988, provided interview or medical record review data on the use of health services in the 24 months preceding the diagnosis of cancer. One hundred twenty-four subjects were able to recall whether and how often they visited health care sites in this period, reporting a median number of 10.5 visits; 94% recalled at least one visit. Eighty-nine medical record reviews indicated a median of seven visits. For the most part, these visits were to providers whom subjects considered their regular source of care--sources that provided care in a broad range of locations. These data support a strategy of integrating screening for head and neck cancers into existing health care services.
1985年9月1日至1988年3月31日期间，波士顿有130例头颈部癌新发病例，提供了癌症诊断前24个月内使用医疗服务的访谈或病历审查数据。124名受试者能够回忆起在此期间他们是否以及多久去一次医疗保健机构，报告的就诊次数中位数为10.5次；94%的人回忆起至少就诊过一次。89份病历审查显示就诊次数中位数为7次。在很大程度上，这些就诊是去受试者认为是其常规医疗服务来源的医疗机构——这些机构在广泛的地点提供医疗服务。这些数据支持将头颈部癌筛查纳入现有医疗服务的策略。
