Bass B, Pross D, Bell P
Ontario Breast Screening Program, Kingston Centre.
Can Fam Physician. 1994 Oct;40:1730-9.
To evaluate a systematic effort to recruit women for breast screening.
Individually addressed letters, signed by the woman's physician (followed by reminder letters and telephone calls as necessary) were sent to women in a rural family practice, prompting them to make an appointment for breast screening at the Ontario Breast Screening Program-the Kingston Centre.
Women were eligible to receive a letter if they were aged 50 to 69, had not had a mammogram for at least 12 months, and did not have a previous diagnosis of breast cancer or current acute symptoms of breast disease.
Response rates were measured to the initial letter, the reminder letter, and the telephone call. Women who came to the breast screening centre as a result of this recruitment effort were surveyed on their reaction to the letter.
The response rate, as measured 9 months after the initial letters were sent, was 57.5%; 38% of respondents to the initial letter and 49% of respondents to the reminder letter said they would not have come to the centre without the letter. Both the breast screening program managers and the family physicians involved considered the project a success.
Integrating with an organized breast screening program is one way for busy family physicians systematically to involve their patients in an early detection program without unduly burdening physicians or disrupting normal patient care.
评估为乳腺筛查招募女性的一项系统性工作。
由女性的医生单独署名的信件（必要时随后会发送提醒信和进行电话随访）被寄给农村家庭医疗诊所的女性，促使她们预约安大略省乳腺筛查项目——金斯敦中心的乳腺筛查。
年龄在50至69岁之间、至少12个月未进行过乳房X光检查且既往没有乳腺癌诊断或当前没有乳腺疾病急性症状的女性有资格收到信件。
测量对初始信件、提醒信和电话随访的回复率。对因此次招募工作前来乳腺筛查中心的女性就她们对信件的反应进行了调查。
在发出初始信件9个月后测量的回复率为57.5%；初始信件的38%受访者以及提醒信的49%受访者表示，如果没有信件，她们不会前来该中心。参与其中的乳腺筛查项目管理人员和家庭医生都认为该项目取得了成功。
与有组织的乳腺筛查项目相结合，是忙碌的家庭医生在不过度加重医生负担或扰乱正常患者护理的情况下，系统地让其患者参与早期检测项目的一种方式。
