Olson K L, Chapman J A, Thurston W E, Milligan C D
Cross Cancer Institute, Edmonton, Alta.
Cancer Prev Control. 1997 Aug;1(3):213-21.
This paper used the National Cancer Institute of Canada (NCIC) cancer control framework to review research on participation in breast cancer screening programs and identify areas for further study. Cancer Lit, MEDLINE, CINAHL, Sociofile, Health and the Public Affairs Information Service databases were searched for literature published from 1990 to 1995. Information was also obtained from provincial breast cancer screening programs and Health Canada. Interventions designed to promote participation in screening programs have not been effective. Involvement of the target community, however, increased success and sustainability. Barriers to initial participation within screening programs include alternative sources of screening and the lack of funds to screen all eligible women. Studies show that participation decreases with successive screening rounds. The priorities for study are development of: a theoretical framework for recruitment strategies, a method to capture all Canadian screening results including those performed through provincial health insurance plans and a mechanism to deliver screening to all eligible Canadian women.
本文采用加拿大国家癌症研究所（NCIC）癌症控制框架，对参与乳腺癌筛查项目的研究进行综述，并确定进一步研究的领域。检索了Cancer Lit、MEDLINE、CINAHL、Sociofile、健康与公共事务信息服务数据库，以查找1990年至1995年发表的文献。还从省级乳腺癌筛查项目和加拿大卫生部获取了信息。旨在促进参与筛查项目的干预措施并不有效。然而，目标社区的参与提高了成功率和可持续性。筛查项目初始参与的障碍包括筛查的替代来源以及缺乏为所有符合条件的女性进行筛查的资金。研究表明，随着筛查轮次的增加，参与率会下降。研究的重点是开发：招募策略的理论框架、一种获取所有加拿大筛查结果的方法（包括通过省级医疗保险计划进行的筛查结果）以及一种为所有符合条件的加拿大女性提供筛查的机制。
