Veterans Health Administration, University of Washington School of Medicine, Seattle, WA, USA.
Gastroenterology Department, Kaiser Permanente Medical Center, The Permanente Medical Group, 1425 South Main Street, Walnut Creek, CA 94596, USA; The Kaiser Permanente Division of Research, Oakland, CA 94612, USA.
Gastrointest Endosc Clin N Am. 2020 Jul;30(3):393-411. doi: 10.1016/j.giec.2020.02.002. Epub 2020 Apr 16.
Most screening in the United States occurs in an opportunistic fashion, although organized screening occurs in some integrated health care systems. Organized colorectal cancer (CRC) screening consists of an explicit screening policy, defined target population, implementation team, health care team for clinical care delivery, quality assurance infrastructure, and method for identifying cancer outcomes. Implementation of an organized screening program offers opportunities to systematically assess the success of the program and develop interventions to address identified gaps in an effort to optimize CRC outcomes. There is evidence of that organized screening is associated with improvements in screening participation and CRC mortality.
美国的大多数筛查都是机会性的，尽管在一些综合医疗保健系统中也会进行有组织的筛查。有组织的结直肠癌（CRC）筛查包括明确的筛查政策、定义的目标人群、实施团队、提供临床护理的医疗团队、质量保证基础设施，以及识别癌症结果的方法。实施有组织的筛查计划为系统评估计划的成功提供了机会，并制定干预措施以解决发现的差距，从而优化 CRC 的结果。有证据表明，有组织的筛查与提高筛查参与率和降低 CRC 死亡率有关。
