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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Improving participation in colorectal cancer screening: Targets for action
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Improving participation in colorectal cancer screening: Targets for action

机译：改善对大肠癌筛查的参与：行动目标

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Objective: Our aim was to determine whether physician-related factors influenced patient participation in colorectal cancer (CRC) screening programs and to identify patient characteristics associated with lower participation in order to facilitate the development of targeted actions to improve participation. Method: A retrospective cohort study was conducted in a French department during its first CRC screening campaign from June 2007 to May 2010. Data for 157,766 patients followed by 903 general practitioners (GPs) were analyzed. Patient participation was assessed using multilevel logistic modeling. Results: The overall participation rate was 30% (95% confidence interval [95% CI], 29.8-30.2) and varied across the 903 GPs from 0% to 75.5% (median, 30; interquartile range, 24-35). Inter-GP variance explained only 5.5% of the participation rate variance. Participation was significantly lower in males (odds ratio [OR], 0.79; 95% CI, 0.78-0.91), the youngest age group (55-59. years, OR, 0.61; 95% CI, 0.58-0.63), and patients living in socioeconomically deprived areas (OR, 0.82; 95% CI, 0.77-0.87). Conclusion: Targeted actions to improve CRC screening participation should focus on patients younger than 60. years, males, and individuals living in deprived areas. Actions to enhance the influence of GPs on patient participation should be directed to the overall population of GPs.
机译：目的：我们的目的是确定医师相关因素是否影响大肠癌（CRC）筛查计划的患者参与，并确定与低参与度相关的患者特征，以促进针对性行动的发展以改善参与度。方法：回顾性队列研究在法国部门于2007年6月至2010年5月进行的首次CRC筛查活动中进行。分析了157,766例患者的数据，然后分析了903名全科医生。使用多级逻辑模型评估患者的参与。结果：总体参与率为30％（95％置信区间[95％CI]，29.8-30.2），并且在903个GP中从0％到75.5％不等（中位数为30;四分位间距为24-35）。 GP间差异仅解释了参与率差异的5.5％。男性（奇数比[OR]，0.79; 95％CI，0.78-0.91），最小年龄组（55-59。岁，OR，0.61; 95％CI，0.58-0.63）和患者的参与率显着降低生活在社会经济贫困地区（OR为0.82; 95％CI为0.77-0.87）。结论：改善CRC筛查参与的针对性行动应集中于60岁以下的患者，男性和生活在贫困地区的个人。增强全科医生对患者参与的影响的措施应针对全科医生。

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