Hobbs P
Radiography. 1986 Nov-Dec;52(606):287-90.
The clinical potential of any screening modality is unlikely to be realised unless a majority of the target group participates in the screening. Behavioural studies of screening observe a negative correlation with lower social class, income, education and with higher age. Education and persuasion programmes have increasingly been designed with these factors in mind. More recent studies, however, indicate that the way in which the screening service is made available to women affects their perceptions of it and, therefore, their participation at least as much as social factors; and properly designed presentation may even cancel out the effect of age and social class. This paper describes and discusses the studies which have led to the development of a consumer-oriented, service initiated (COSI) approach.
除非大多数目标群体参与筛查，否则任何筛查方式的临床潜力都不太可能实现。筛查的行为研究观察到，社会阶层较低、收入较低、受教育程度较低以及年龄较大之间存在负相关。教育和劝导项目在设计时越来越多地考虑到这些因素。然而，最近的研究表明，向女性提供筛查服务的方式至少与社会因素一样，会影响她们对筛查的认知，进而影响她们的参与度；而设计合理的宣传方式甚至可能抵消年龄和社会阶层的影响。本文描述并讨论了促成以消费者为导向、服务发起式（COSI）方法发展的各项研究。
