Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Andrew Mutch Building, 51 N. 39th Street, Philadelphia, PA 19104, USA.
University of Virginia School of Medicine, Box 800744 UVA Health System, Charlottesville, VA 22908, USA.
Med Clin North Am. 2020 Nov;104(6):971-987. doi: 10.1016/j.mcna.2020.08.001.
Screening for cancer has contributed to substantial reductions in death from several cancers and is one of the most cost-effective preventive interventions in all of health care. In the United States, primary care clinicians, their clinical teams, and the systems in which they work are primarily responsible for ensuring that screening occurs. In order to achieve the highest possible population-wide screening rates, primary care clinicians must embrace the responsibility to screen their entire enrolled patient population, institute several overarching general approaches to screening, and implement a combination of evidence-based interventions.
癌症筛查大大降低了多种癌症的死亡率,是所有医疗保健中最具成本效益的预防措施之一。在美国,初级保健临床医生、他们的临床团队以及他们所在的医疗系统主要负责确保筛查的进行。为了实现尽可能高的全民筛查率,初级保健临床医生必须承担起对其所有登记患者人群进行筛查的责任,采用几种全面的一般筛查方法,并实施一系列基于证据的干预措施。