Fox S, Tsou C V, Klos D S
J Fam Pract. 1985 May;20(5):467-71.
Two groups of residents in family practice were used to evaluate the effectiveness of a multifaceted educational program that was designed to increase resident compliance with screening for breast cancer. In the experimental group, residents were given a two-hour seminar that responded to the literature on the difficulties of implementing preventive care in clinical practice; group consensus was developed for a more regular (exact frequency left to each resident) screening for women aged over 35 years, and specific barriers to breast cancer screening were analyzed and solutions presented whenever possible. In addition, these residents received two behavioral cues after the intervention to stimulate and reinforce referrals for mammography screening. The study was conducted over a period of one year, including a five-month preintervention period, a three-month post-intervention period, and a three-month follow-up period. As predicted, the increase in mean referral rate for the experimental group was significantly greater than for the comparison group. This increased rate of referral for mammogram was maintained for six months after the intervention. This intervention is easily reproducible in many residency training programs, especially those in family medicine and other small primary care programs.
两组家庭医学住院医师被用来评估一项多方面教育计划的效果，该计划旨在提高住院医师对乳腺癌筛查的依从性。在实验组中，住院医师参加了一个两小时的研讨会，该研讨会回应了关于在临床实践中实施预防保健困难的文献；针对35岁以上女性制定了更常规（具体频率由每位住院医师自行决定）的筛查小组共识，并分析了乳腺癌筛查的具体障碍，并尽可能提出了解决方案。此外，这些住院医师在干预后收到了两条行为提示，以刺激和加强乳房X光检查筛查的转诊。该研究进行了一年，包括五个月的干预前期、三个月的干预期和三个月的随访期。正如预期的那样，实验组平均转诊率的增加显著大于对照组。干预后，乳房X光检查的转诊率提高持续了六个月。这种干预措施在许多住院医师培训项目中很容易复制，尤其是在家庭医学和其他小型初级保健项目中。
