预约预约对参加基于人口的乳房镜查计划的影响
Mathijs M Goossens1,2, Eliane Kellen2,3, Mireille J M Broeders4,5
1Department of Radiology, Vrije Universiteit Brussel, Brussels, Belgium.
European journal of public health
|August 9, 2023
概括
与公开邀请相比,预定预约显著提高了乳腺癌查出席率. 这一策略在不同查单位和出席历史记录中被证明是有效的,提高了参与率.
科学领域:
- 公共卫生 公共卫生
- 癌症查 癌症查
- 医疗保健服务研究 医疗服务研究
背景情况:
- 乳腺癌查计划旨在改善早期检测并降低死亡率.
- 选计划的采用率可能不够理想,需要探索各种邀请策略.
- 随机对照试验调查预定预约进行乳房镜检查是有限的.
研究的目的:
- 评估预定预约与公开邀请对乳房扫描查吸收的有效性.
- 评估预定预约在不同查环境和患者病史上的影响.
主要方法:
- 一个随机对照试验,涉及4798名女性,参加了佛兰德人口基的乳房扫描查计划.
- 女性被分配到预先安排的约会或公开邀请组.
- 使用Poisson回归分析了出勤率,根据查单位和出勤史,对特定子组的相对风险进行了比较.
主要成果:
- 与所有子组的公开邀请相比,预定预约的出席率显著更高.
- 偏好预定预约的相对风险为2.3 (移动,非出席者),1.8 (医院,非出席者) 和1.8 (医院,不规则的出席者).
- 出席率的绝对增长在4.4%至15.8%之间.
结论:
- 预先安排的预约是一个有效的策略,以提高乳房扫描查的出席率.
- 干预显示出相当大的绝对增长的出席率,受先查行为的影响.
- 这种方法对移动和医院的查单位都有好处.
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