Brandzel Susan D, Bowles Erin J Aiello, Wieneke Arika, Bradford Susan Carol, Kimbel Kilian, Gao Hongyuan, Buist Diana Sm
Insights Director at Health Stories Project Insights in Seattle, WA.
Research Associate for Kaiser Permanente Washington Health Research Institute in Seattle.
Perm J. 2017;21:17-051. doi: 10.7812/TPP/17-051.
Health care systems continue to seek evidence about how to optimize the efficiency and effectiveness of cancer screening reminders. Annual reminders to receive preventive services can be an efficient strategy.
To understand patient motivators and barriers to cancer screening and preferences about reminder strategies.
We conducted 11 focus groups among adults recommended for cancer screening within Kaiser Permanente Washington. We held separate focus groups with women aged 21 to 49 years, women 50 to 75 years, and men 50 to 75 years. We used an inductive, validated coding scheme for analysis.
Motivators and barriers to obtaining recommended cancer screening and general cancer screening reminder content and modality preferences.
Half of our participants were women aged 50 to 75 years, and 25% were men aged 50 to 75 years. Differences by age, sex, insurance status, financial status, and health beliefs all drove the participants' preferences for whether they seek these recommended services and how and when they wish to be reminded about recommended cancer screening. Most participants preferred personalized reminders, and many favored receiving reminders less than 3 months before the recommended procedure date rather than a consolidated annual reminder. Younger participants more commonly requested electronic reminders, such as texts and e-mails.
Optimizing cancer screening reminders within a health care system involves a multifaceted approach that enables members to request which form of reminder they prefer (eg, electronic, paper, telephone) and the timing with which they want to be reminded, while staying affordable and manageable to the health care system.
医疗保健系统一直在寻找有关如何优化癌症筛查提醒的效率和效果的证据。每年提醒接受预防服务可能是一种有效的策略。
了解患者进行癌症筛查的动机和障碍以及对提醒策略的偏好。
我们在华盛顿凯撒医疗集团中被推荐进行癌症筛查的成年人中开展了11个焦点小组讨论。我们分别与21至49岁的女性、50至75岁的女性以及50至75岁的男性进行了焦点小组讨论。我们使用一种归纳式的、经过验证的编码方案进行分析。
获得推荐的癌症筛查的动机和障碍以及一般癌症筛查提醒的内容和方式偏好。
我们的参与者中有一半是50至75岁的女性，25%是50至75岁的男性。年龄、性别、保险状况、财务状况和健康观念的差异都影响了参与者对于是否寻求这些推荐服务以及希望如何及何时被提醒进行推荐的癌症筛查的偏好。大多数参与者更喜欢个性化提醒，许多人倾向于在推荐检查日期前不到3个月收到提醒，而不是年度综合提醒。较年轻的参与者更常要求电子提醒，如短信和电子邮件。
在医疗保健系统中优化癌症筛查提醒需要采取多方面的方法，使成员能够要求他们喜欢的提醒形式（如电子、纸质、电话）以及希望被提醒的时间，同时要在医疗保健系统可承受和可管理的范围内。
