提供预约宫颈癌筛查的应用程序：服务评估。
Offering an app to book cervical screening appointments: A service evaluation.
机构信息
Department of Behavioural Science and Health, UCL, London, UK.
NHS England (London Region)/Public Health England, London, UK.
出版信息
J Med Screen. 2020 Jun;27(2):85-89. doi: 10.1177/0969141319871312. Epub 2019 Sep 9.
OBJECTIVE
To assess the feasibility of offering women who are overdue for cervical screening the use of a smartphone app to book their appointment.
METHODS
Women who were at least six months overdue for cervical screening in three general practice surgeries in a deprived East London borough were identified from practice records. Staff sent batches of text messages informing women that they were overdue for screening, and inviting them to download an app to book their appointment.
RESULTS
Across the three practices, 2632 eligible women were identified. Valid mobile phone numbers were available for 1465 women. One woman had opted out of receiving text messages, so messages were sent to 1464 women. Of these, 158 (11%) booked a screening appointment within five months. The majority of these women booked without using the app (72%; 113/158); just over a quarter booked via the app (28%; 45/158).
CONCLUSIONS
Just over 10% of cervical screening non-attenders booked an appointment in response to a text message with a link to a downloadable app; however, only one in four of these women booked using the app. This suggests that the text message reminder was likely to have been the key 'active ingredient' for most women, rather than the app itself. Future research could explore the optimal message for a text reminder in this context and evaluate the inclusion of a link to existing online booking systems.
目的
评估为逾期进行宫颈筛查的女性提供使用智能手机应用程序预约的可行性。
方法
从三个位于东伦敦贫困区的普通外科手术的记录中确定至少逾期六个月进行宫颈筛查的女性。工作人员通过发送短信告知女性她们逾期筛查，并邀请她们下载应用程序预约。
结果
在这三个诊所中，共确定了 2632 名符合条件的女性。有 1465 名女性的有效手机号码可用。有一名女性选择不接收短信，因此向 1464 名女性发送了短信。其中，158 名（11%）在五个月内预约了筛查。这些女性中，大多数是在没有使用应用程序的情况下预约的（72%；113/158）；只有四分之一左右是通过应用程序预约的（28%；45/158）。
结论
只有 10%以上的宫颈筛查未就诊者在收到带有可下载应用程序链接的短信提醒后预约了检查；然而，其中只有四分之一的女性使用该应用程序预约。这表明，对大多数女性来说，短信提醒可能是关键的“有效成分”，而不是应用程序本身。未来的研究可以探讨在这种情况下发送短信提醒的最佳信息，并评估链接到现有在线预约系统的方法。
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