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初级保健中的成人癌症预防:魁北克初级保健实践环境之间的对比。

Adult cancer prevention in primary care: contrasts among primary care practice settings in Québec.

作者信息

Battista R N, Spitzer W O

出版信息

Am J Public Health. 1983 Sep;73(9):1040-1. doi: 10.2105/ajph.73.9.1040.

Abstract

Four strata of Québec primary care (general practitioner) physicians were delineated: fee-for-service physicians in urban and in rural settings, salaried physicians in Community Health Centers (CLSCs) and physicians reimbursed per session in Family Medicine Teaching Centers (FMCs). Physicians in CLSCs and FMCs did more mammographies in women aged 50 to 59, more testing for occult blood in stools of patients aged 45 and over, more Papanicolaou tests, and pursued preventive activities in a broader range of medical encounters than fee-for-service physicians.

摘要

魁北克初级保健(全科医生)医生被划分成四个层次:城市和农村地区的按服务收费医生、社区卫生中心(CLSCs)的受薪医生以及家庭医学教学中心(FMCs)按诊疗次数报销的医生。与按服务收费医生相比,社区卫生中心和家庭医学教学中心的医生为50至59岁女性做的乳房X光检查更多,为45岁及以上患者做的大便潜血检测更多,巴氏试验更多,并且在更广泛的医疗问诊中开展预防活动。

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