Institute of Primary Health Care (BIHAM), University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland.
President Sentinella Network, Bern, Switzerland.
Int J Public Health. 2019 Sep;64(7):1075-1083. doi: 10.1007/s00038-019-01259-4. Epub 2019 Jun 15.
To determine the proportion of 50-75-year-old patients who visit a primary care physician's (PCP) office and were tested for colorectal cancer (CRC) by either colonoscopy within 10 years or fecal occult blood testing (FOBT) within 2 years. To describe the variation in care between PCPs and factors associated with these proportions.
Cross-sectional data collected between April and December 2017.
PCPs reporting for the Swiss Sentinel Surveillance Network. Each PCP collected demographic data and CRC testing status from 40 consecutive patients.
proportions of patients up to date with CRC screening and method used (colonoscopy/FOBT/Other); variation in the outcome measures between PCPs; association of physician-level factors with main outcomes.
91/129 PCPs collected data from 3451 patients; 45% had been tested for CRC within recommended intervals (41% colonoscopy, 4% FOBT). The proportions of patients tested and testing with colonoscopy versus FOBT varied widely between PCPs. Language region was associated with PCPs' rate of FOBT prescription.
Less than half of patients who visited PCPs in Switzerland were tested for CRC within recommended intervals. PCPs varied widely in their testing practices.
确定在 10 年内接受结肠镜检查或在 2 年内接受粪便潜血检测（FOBT）的 50-75 岁患者中，有多少比例的患者前往初级保健医生（PCP）就诊并接受了结直肠癌（CRC）检测。描述 PCP 之间的护理差异以及与这些比例相关的因素。
2017 年 4 月至 12 月期间收集的横断面数据。
报告瑞士 Sentinel 监测网络的 PCP。每位 PCP 从 40 名连续患者中收集人口统计学数据和 CRC 检测状态。
符合 CRC 筛查且方法（结肠镜检查/FOBT/其他）的患者比例；PCP 之间结果测量的差异；医生水平因素与主要结果的关联。
91/129 名 PCP 从 3451 名患者中收集数据；45%的患者在推荐的时间间隔内接受了 CRC 检测（41%接受结肠镜检查，4%接受 FOBT）。接受检测的患者比例以及与结肠镜检查与 FOBT 检测的比例在 PCP 之间差异很大。语言区与 FOBT 处方率相关。
在瑞士，不到一半的接受 PCP 就诊的患者在推荐的时间间隔内接受了 CRC 检测。PCP 之间的检测实践差异很大。
