在一项基于全科医生的结直肠癌筛查项目中增加依从性的方法比较及其对医生工作量的影响。
A comparison of methods for increasing compliance within a general practitioner based screening project for colorectal cancer and the effect on practitioner workload.
作者信息
Pye G, Christie M, Chamberlain J O, Moss S M, Hardcastle J D
机构信息
Department of Surgery, University of Nottingham.
出版信息
J Epidemiol Community Health. 1988 Mar;42(1):66-71. doi: 10.1136/jech.42.1.66.
Abstract
Screening for colorectal cancer by testing for faecal occult blood (FOBT) is effective for early diagnosis, but the success of a screening programme also depends on compliance. The aims of this study were to assess the effect of health education on compliance and to assess any addition to general practitioner workload that resulted. Altogether 3860 patients were recruited and randomly allocated to test or control group. The test group was further divided into subgroups, some of which received health education. Compliance with FOBT was 54.7% (210/384) in the subgroup receiving only the doctor's letter, which fell to 48.1% (743/1544) in the group receiving health education. General practitioner consultation rates were similar in test and control groups.
摘要
通过检测粪便潜血（FOBT）筛查结直肠癌对早期诊断有效，但筛查项目的成功还取决于依从性。本研究的目的是评估健康教育对依从性的影响，并评估由此给全科医生工作量带来的任何增加。总共招募了3860名患者并随机分配到试验组或对照组。试验组进一步分为亚组，其中一些亚组接受了健康教育。仅收到医生信件的亚组中，FOBT的依从率为54.7%（210/384），接受健康教育的组中该依从率降至48.1%（743/1544）。试验组和对照组的全科医生会诊率相似。
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