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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >A randomized controlled trial of a clinic-based support staff intervention to increase the rate of fecal occult blood test ordering.
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A randomized controlled trial of a clinic-based support staff intervention to increase the rate of fecal occult blood test ordering.

机译：一项基于临床的支持人员干预以提高粪便潜血测试订购率的随机对照试验。

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BACKGROUND: Colorectal cancer is the second most common fatal malignancy in the United States. Early detection using fecal occult blood tests has been shown to reduce mortality, but these tests are underutilized among those eligible for this screening. Attempts to increase use of fecal occult blood tests in eligible populations have focused on the provider, patient, or system. But none have examined whether a support-staff intervention is effective in achieving this aim. We therefore conducted a randomized controlled trial to test the impact of authorizing support staff to order fecal occult blood tests in a general internal medicine clinic organized into four teams. METHODS: A total of 1,109 patients were included in the study, 545 of whom were in the two teams randomized to treatment. Univariate and multivariate regression analyses were used to evaluate the impact of the intervention. RESULTS: The intervention resulted in significantly more fecal occult blood test ordering in the treatment group than in the control group for all patients (52% vs 15%, P < 0.001). Treatment fecal occult blood test cards were returned as frequently as the control cards for all patients (44% vs 48%, P = 0.571). CONCLUSION: Delegation of selected screening tasks to support staff can enhance patient access to preventive care.
机译：背景：结直肠癌是美国第二大最常见的致命恶性肿瘤。粪便潜血试验的早期检测已显示出可以降低死亡率，但这些筛查在有资格进行筛查的人群中并未得到充分利用。在合格人群中尝试增加粪便潜血测试的使用已集中在提供者，患者或系统上。但是没有人检查过支持人员的干预是否有效地实现了这一目标。因此，我们进行了一项随机对照试验，以测试授权支持人员在组织成四个小组的普通内科诊所中进行粪便潜血测试的效果。方法：共有1109名患者被纳入研究，其中545名患者被随机分为两组。单因素和多元回归分析用于评估干预措施的影响。结果：对于所有患者，干预措施导致治疗组的粪便潜血测试顺序明显多于对照组（52％vs 15％，P <0.001）。所有患者的治疗粪便潜血测试卡的返回频率与对照卡一样高（44％vs 48％，P = 0.571）。结论：委派选定的筛查任务以支持工作人员可以增加患者获得预防保健的机会。

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