医疗服务提供者在结直肠癌结肠镜筛查中的作用。
Providers role in colonoscopy screening for colorectal cancer.
作者信息
Ramdass Prakash, Petraro Paul, Via Christina, Shahrokni Armin, Nawaz Haq
机构信息
Thornbury Medical Care, Assistant Professor, American University of Barbados, School of Medicine, St. Michael, Barbados.
Griffin Hospital, Department of Medical Education and Preventive Medicine, Derby, CT, USA.
出版信息
Am J Health Behav. 2014 Mar;38(2):234-44. doi: 10.5993/AJHB.38.2.9.
OBJECTIVES
To examine predictors of provider recommendations for colorectal cancer (CRC).
METHODS
We examined proportions of patients without prior screening for colonoscopy and their willingness to get a colonoscopy if recommended by a healthcare provider.
RESULTS
The rate of CRC screening with a colonoscopy within the recommended guidelines was 35%; provider recommendation rate for colonoscopy screening was 34.9%; and never-screened patients would receive a colonoscopy 78% when recommended by a provider. Provider recommendation was the best predictor for receiving a screening colonoscopy (OR 4.19; 95% CI, 1.91-9.22, p < .01).
CONCLUSIONS
Physician recommendation for colonoscopy is the most effective strategy to promote screening colonoscopy in the US, but only one third of eligible patients recall such counseling.
目的
研究结直肠癌（CRC）医疗服务提供者推荐的预测因素。
方法
我们调查了未进行过结肠镜筛查的患者比例，以及他们在医疗服务提供者建议下接受结肠镜检查的意愿。
结果
在推荐指南范围内进行结肠镜CRC筛查的比例为35%；结肠镜筛查的医疗服务提供者推荐率为34.9%；从未接受过筛查的患者在医疗服务提供者建议下接受结肠镜检查的比例为78%。医疗服务提供者的推荐是接受结肠镜筛查的最佳预测因素（比值比4.19；95%置信区间，1.91 - 9.22，p < 0.01）。
结论
在美国，医生对结肠镜检查的推荐是促进结肠镜筛查的最有效策略，但只有三分之一符合条件的患者记得此类咨询。
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