Cancer Prevention and Control Program, Catalan Institute of Oncology-IDIBELL, Av. Gran Via 199-203, 08908, L'Hospitalet de Llobregat, Barcelona, Spain.
Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.
J Med Syst. 2019 Jun 24;43(8):244. doi: 10.1007/s10916-019-1382-6.
Communication is a corner stone of population-based breast cancer screening programs that need to invite all the women from their target population and provide them with balanced information on screening to guaranty informed participation. Invited women also need to be able to contact screening programs to get further information on screening procedures and/or cancel and reschedule appointments. This study describes the communication channels used by women invited for breast cancer screening to contact the program. The study population consisted of 141,684 women, aged 50-69 years, who were invited during 2015-2016 for screening by the Catalan Breast Cancer Screening Program (Spain). Multiple logistic regression models were performed to assess the association between age, screening history, socioeconomic status and reasons for contacting the program and the outcome variables (contact with the program; contact through information and communication technology (ICT) channels). Among the 141,684 women invited for BC screening, 22.5% contacted the screening office mainly to reschedule (42.2%) and cancel (29.2%) appointments. While the communication channel mostly used was the telephone, 24.8% of the women used ICT. ICT was more frequently used by women who had never been screened. Women who wanted to change their appointment were 65% (OR 1.65, 95%CI 1.54-1.76) more likely to use ICT than women who wanted to cancel it. This study showed the need to reinforce communication between women and breast cancer screening programs and the importance of offering communication channels suiting all women's needs to facilitate appointments' rescheduling and cancelling and therefore improve screening programs' efficiency.
沟通是基于人群的乳腺癌筛查计划的基石，该计划需要邀请目标人群中的所有女性，并为她们提供关于筛查的平衡信息，以确保知情参与。受邀女性还需要能够与筛查计划联系，以获取有关筛查程序的更多信息，或取消和重新安排预约。本研究描述了受邀参加乳腺癌筛查的女性联系该计划所使用的沟通渠道。研究人群包括 141684 名年龄在 50-69 岁之间的女性，她们在 2015-2016 年期间被加泰罗尼亚乳腺癌筛查计划（西班牙）邀请进行筛查。采用多因素逻辑回归模型评估年龄、筛查史、社会经济地位以及联系计划的原因与结局变量（与计划的联系；通过信息和通信技术（ICT）渠道联系）之间的关系。在 141684 名受邀参加乳腺癌筛查的女性中，22.5%的人主要通过电话联系筛查办公室重新安排（42.2%）和取消（29.2%）预约。虽然使用最多的沟通渠道是电话，但 24.8%的女性使用了 ICT。从未接受过筛查的女性更频繁地使用 ICT。希望更改预约的女性使用 ICT 的可能性比希望取消预约的女性高 65%（OR 1.65，95%CI 1.54-1.76）。本研究表明，需要加强女性与乳腺癌筛查计划之间的沟通，并提供适合所有女性需求的沟通渠道，以方便预约的重新安排和取消，从而提高筛查计划的效率。
