作为全州范围宫颈癌筛查项目的一部分，对面向全科医生的教育推广活动进行评估。
An evaluation of educational outreach to general practitioners as part of a statewide cervical screening program.
作者信息
Stevens S A, Cockburn J, Hirst S, Jolley D
机构信息
Centre for Behavioural Research in Cancer, Anti-Cancer Council of Victoria, Melbourne, Australia.
出版信息
Am J Public Health. 1997 Jul;87(7):1177-81. doi: 10.2105/ajph.87.7.1177.
OBJECTIVES
The purpose of this study was to determine the acceptability, effectiveness, and cost of a face-to-face educational outreach intervention in the context of a program aimed at increasing cervical screening in Victoria, Australia.
METHODS
All identified general practitioners in a specified intervention area were offered a visit by a general practitioner educator. Practitioners completed a questionnaire evaluating the acceptability of the visit. Odds ratios for a woman being screened in the 3 months following the visits were determined.
RESULTS
Fifty-nine general practitioners (69.4%) accepted the offer of a visit. Most found both the process and the content of the intervention to be acceptable. The intervention and nonintervention regions did not differ either before or after the intervention. In both regions, there was a statistically significant increase in number of Pap tests performed. There was no difference in the change in screening between the two regions. Costs were estimated at Au$34 per general practitioner visited.
CONCLUSIONS
This strategy cannot be recommended for widespread use in a cervical screening program.
目的
本研究旨在确定在澳大利亚维多利亚州一项旨在增加宫颈癌筛查的项目背景下，面对面教育外展干预措施的可接受性、有效性和成本。
方法
向特定干预区域内所有确定的全科医生提供由一名全科医生教育工作者进行的访视。从业者完成一份评估访视可接受性的问卷。确定访视后3个月内接受筛查的女性的优势比。
结果
59名全科医生（69.4%）接受了访视邀请。大多数人认为干预措施的过程和内容都是可以接受的。干预区域和非干预区域在干预前后均无差异。在两个区域，巴氏试验的执行数量均有统计学上的显著增加。两个区域之间的筛查变化没有差异。每位接受访视的全科医生的成本估计为34澳元。
结论
不建议在宫颈癌筛查项目中广泛使用该策略。
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