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低收入管理式医疗样本中的乳腺癌和宫颈癌筛查：医生信件与电话的效果

Breast and cervical cancer screening in a low-income managed care sample: the efficacy of physician letters and phone calls.

作者信息

Lantz P M, Stencil D, Lippert M T, Beversdorf S, Jaros L, Remington P L

机构信息

Marshfield Medical Research Foundation, Wis, USA.

出版信息

Am J Public Health. 1995 Jun;85(6):834-6. doi: 10.2105/ajph.85.6.834.

DOI:10.2105/ajph.85.6.834
PMID:7646664
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1615506/
Abstract

A randomized trial was conducted to evaluate the combined impact of a physician reminder letter and a telephone contact on the use of Pap tests and mammograms in a low-income managed care program. Women 40 to 79 years of age who were past due for cancer screening were randomly assigned to an intervention or control group. Medical claims were reviewed after 6 months to determine intervention effectiveness. The odds of receiving all needed cancer screening tests during follow-up were four times higher in the intervention group. Women who reported having to take time off from work to see a doctor had lower odds of getting screened.

摘要

开展了一项随机试验，以评估在低收入管理式医疗项目中，医生提醒信和电话联系对巴氏试验和乳房X光检查使用情况的综合影响。年龄在40至79岁且癌症筛查逾期未做的女性被随机分配到干预组或对照组。6个月后对医疗理赔情况进行审查，以确定干预效果。干预组在随访期间接受所有必要癌症筛查测试的几率高出四倍。报告称必须请假去看医生的女性接受筛查的几率较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285b/1615506/44b5dc9400f7/amjph00444-0084-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285b/1615506/44b5dc9400f7/amjph00444-0084-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285b/1615506/44b5dc9400f7/amjph00444-0084-a.jpg

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本文引用的文献

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Impact of an HMO-based intervention to increase mammography utilization.基于健康维护组织（HMO）的干预措施对提高乳房X光检查利用率的影响。
Cancer Epidemiol Biomarkers Prev. 1993 Mar-Apr;2(2):151-6.
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Factors associated with obtaining health screening among women of reproductive age.育龄女性进行健康筛查的相关因素。
Interventions targeted at women to encourage the uptake of cervical screening.
针对女性的干预措施，以鼓励她们接受宫颈癌筛查。
Cochrane Database Syst Rev. 2021 Sep 6;9(9):CD002834. doi: 10.1002/14651858.CD002834.pub3.
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Impact of human papillomavirus (HPV) self-collection on subsequent cervical cancer screening completion among under-screened US women: MyBodyMyTest-3 protocol for a randomized controlled trial.人乳头瘤病毒（HPV）自我采样对美国筛查不足女性后续宫颈癌筛查完成情况的影响：MyBodyMyTest-3随机对照试验方案
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Manually-generated reminders delivered on paper: effects on professional practice and patient outcomes.纸质形式的人工生成提醒：对专业实践和患者结局的影响。
Cochrane Database Syst Rev. 2019 Dec 18;12(12):CD001174. doi: 10.1002/14651858.CD001174.pub4.
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Partners and Alerts in Medication Adherence: A Randomized Clinical Trial.药物依从性的伴侣和提醒：一项随机临床试验。
J Gen Intern Med. 2018 Sep;33(9):1536-1542. doi: 10.1007/s11606-018-4389-7. Epub 2018 Mar 15.
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Stepwise strategy to improve Cervical Cancer Screening Adherence (SCAN-CC): automated text messages, phone calls and face-to-face interviews: protocol of a population-based randomised controlled trial.提高宫颈癌筛查依从性的逐步策略（SCAN-CC）：自动短信、电话和面对面访谈：一项基于人群的随机对照试验方案
BMJ Open. 2017 Oct 5;7(10):e017730. doi: 10.1136/bmjopen-2017-017730.
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Effect of cervical cancer education and provider recommendation for screening on screening rates: A systematic review and meta-analysis.宫颈癌教育及医疗服务提供者的筛查建议对筛查率的影响：一项系统评价与荟萃分析
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Promoting mammography use through progressive interventions: is it effective?通过渐进式干预措施促进乳房X光检查的使用：是否有效？
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Why women resist screening mammography: patient-related barriers.
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Computerized reminders to encourage cervical screening in family practice.在家庭医疗中鼓励宫颈癌筛查的计算机化提醒
J Fam Pract. 1989 Apr;28(4):420-4.
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A randomized trial of computerized reminders for blood pressure screening in primary care.一项关于初级保健中血压筛查计算机化提醒的随机试验。
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