Brown Lynsey, Moretti Cecilia, Roeger Leigh, Reed Richard
General Practice, College of Medicine and Public Health, Flinders University of South Australia, Adelaide, South Australia, Australia
General Practice, College of Medicine and Public Health, Flinders University of South Australia, Adelaide, South Australia, Australia.
BMJ Open. 2020 May 18;10(5):e035244. doi: 10.1136/bmjopen-2019-035244.
To explore patients' experiences of bowel cancer screening and its promotion, and perspectives on possible input from general practice for improving screening rates.
Qualitative focus group study underpinned by a phenomenological approach.
Three general practice clinics in metropolitan South Australia.
Thirty active general practice patients, aged 50-74 years (60% female) who were eligible for the National Bowel Cancer Screening Program.
Factors affecting screening were described, with particular concerns regarding the nature of the test, screening process and culture. There were mixed views on the role for general practice in bowel cancer screening; some participants appreciated the current process and viewed screening as out of scope of primary care services, while others were in support of general practice involvement. Roles for general practice were proposed that comprised actions across the continuum from providing information through to reminders and the provision and collection of screening kits. With a view that multifaceted strategies are required to encourage participation, community-based solutions were suggested that centred on improving screening culture and education.
There was a view among participants that general practice could play a useful role in supporting the uptake of the National Bowel Cancer Screening Program, however participants saw a need for multiple strategies at different levels and under different jurisdictions.
探讨患者对肠癌筛查及其推广的体验，以及对全科医疗在提高筛查率方面可能发挥作用的看法。
采用现象学方法的定性焦点小组研究。
南澳大利亚州首府地区的三家全科医疗诊所。
30名年龄在50 - 74岁之间的活跃全科医疗患者（60%为女性），他们符合国家肠癌筛查计划的条件。
描述了影响筛查的因素，尤其关注检测性质、筛查流程和文化。对于全科医疗在肠癌筛查中的作用存在不同观点；一些参与者认可当前流程，认为筛查不属于初级保健服务范畴，而另一些参与者则支持全科医疗的参与。提出了全科医疗的作用，包括从提供信息到提醒以及提供和收集筛查试剂盒等一系列连续的行动。鉴于需要多方面策略来鼓励参与，建议以改善筛查文化和教育为中心的基于社区的解决方案。
参与者认为全科医疗在支持国家肠癌筛查计划的推广方面可以发挥有益作用，然而参与者认为需要在不同层面和不同管辖范围内采取多种策略。
