A COMMUNITY INTERVENTION TO PROMOTE CANCER SCREENING

促进癌症筛查的社区干预

基本信息

批准号：
6173071
负责人：
RICHARD G ROETZHEIM
金额：
$ 28.29万
依托单位：
UNIVERSITY OF SOUTH FLORIDA
依托单位国家：
美国
项目类别：
财政年份：
1999
资助国家：
美国
起止时间：
1999-09-01 至 2003-06-30
项目状态：
已结题

项目摘要

ABSTACT=Racial and ethnic minorities, persons of lower socioeconomic status, and the underinsured have especially low rates of cancer screening. This project will implement and test a simple, cost-effective office intervention to increase cancer screening rates among disadvantaged populations. The intervention strategy utilizes an office system approach designed to maximize cancer screening during routine primary care visits. The office intervention consists of a low-cost kit of materials and explicit responsibilities for patients and office staffs that will help providers perform opportunistic screening. Feedback of screening rates to providers is a second component of the intervention designed to maintain intervention effects. The intervention will be tested in a 4-year quasi-experimental trial involving 16 primary care clinics that serve predominately disadvantaged populations in Tampa, Florida and the surrounding county. We hypothesize that patients attending intervention clinics will be more likely to receive cancer screening services (Pap smears, mammograms, fecal occult blood testing) than those attending control sites. We will also explore the relative cost-effectiveness of the intervention strategy and the durability of intervention effects over time. This project takes advantage of clinical sites serving populations with demonstrated deficits in cancer screening. It also targets the most common reason patients give for not receiving cancer screening services (physicians didn't recommend it). Finally, the intervention utilizes resources that are available to most patients (primary care clinics and their personnel), and relies on low cost methods to promote screening. These factors greatly increase the likelihood that a successful intervention can diffuse into standard medical care.

摘要=少数种族和族裔、社会经济地位较低的人和保险不足的人的癌症筛查率特别低。该项目将实施并测试一种简单、具有成本效益的办公室干预措施，以提高弱势群体的癌症筛查率。干预策略采用办公系统方法，旨在最大限度地在常规初级保健就诊期间进行癌症筛查。办公室干预措施包括一套低成本材料以及对患者和办公室工作人员的明确责任，这将帮助提供者进行机会性筛查。向提供者反馈筛查率是旨在维持干预效果的干预措施的第二个组成部分。该干预措施将在一项为期 4 年的准实验性试验中进行测试，该试验涉及 16 个初级保健诊所，这些诊所主要为佛罗里达州坦帕市及周边县的弱势群体提供服务。我们假设前往干预诊所的患者比前往对照中心的患者更有可能接受癌症筛查服务（巴氏涂片、乳房X光检查、粪便潜血检测）。我们还将探讨干预策略的相对成本效益以及干预效果随时间的持久性。该项目利用为癌症筛查中表现出缺陷的人群提供服务的临床站点。它还针对患者不接受癌症筛查服务的最常见原因（医生不推荐）。最后，干预措施利用大多数患者可用的资源（初级保健诊所及其人员），并依靠低成本方法来促进筛查。这些因素大大增加了成功干预措施扩散到标准医疗护理中的可能性。