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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Screening rarely screened women: time-to-service and 24-month outcomes of tailored interventions.
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Screening rarely screened women: time-to-service and 24-month outcomes of tailored interventions.

机译：筛查很少筛查的妇女：量身定制的干预措施的服役时间和24个月结果。

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摘要

Managed care organizations and others reaching out to underscreened women seek strategies to encourage mammogram and Pap screening.Female HMO members aged 50-69 years and overdue for a mammogram and a Pap test (n = 501) were followed for 24 months after interventions began. An Outreach intervention (tailored letters and motivational telephone interviews), an Inreach intervention (motivational interview delivered in clinics), and a Combined Inreach/Outreach intervention were compared to Usual Care at 24 months. Logistic regression and Cox hazard models examined predictors of obtaining screening services and time-to-service, respectively.Compared with Usual Care, the odds of Outreach women aged 50-64 obtaining a mammogram (OR = 2.06; 95% CI = 1.59-5.29), a Pap test (OR = 1.97; 95% CI = 1.12-3.53), or both (OR = 2.53; 95% CI = 1.40-4.63) remained significantly increased at 24 months. The average time-to-service for Outreach women was reduced by 4 months. Outreach effects persisted despite intensive, ongoing health plan efforts to improve screening of all women.This brief, tailored outreach intervention was an effective strategy for encouraging cervical and breast cancer screening among women overdue for both screening services. It also shortened time-to-service, an important benefit for early detection and treatment. Alternative strategies are needed for women who remain unscreened.
机译：管理性医疗机构和其他与筛查不足的女性接触的组织寻求鼓励进行乳房X线照片和巴氏涂片检查的策略。干预开始后的24个月内，对年龄在50-69岁，逾期未进行乳房X线照片和巴氏涂片检查（n = 501）的女性HMO成员进行随访。在24个月时，将外展干预（量身定制的信件和动机电话访谈），外展干预（在诊所进行的动机访谈）和外展/外展联合干预与通常护理进行了比较。 Logistic回归和Cox风险模型分别检查了获得筛查服务和服务时间的预测因素。与通常护理相比，年龄在50-64岁的外展女性获得乳房X光检查的几率（OR = 2.06; 95％CI = 1.59-5.29 ），巴氏试验（OR = 1.97; 95％CI = 1.12-3.53）或两者（OR = 2.53; 95％CI = 1.40-4.63）在24个月时仍显着增加。外展妇女的平均服务时间减少了4个月。尽管进行了持续不断的健康计划以改善对所有妇女的筛查工作，但仍会继续发挥外联效应。这种简短，量身定制的外联干预措施是鼓励对两个筛查服务均逾期的妇女进行宫颈癌和乳腺癌筛查的有效策略。它还缩短了服务时间，这对于早期发现和治疗具有重要意义。对于仍未接受筛查的妇女，需要采取替代策略。

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