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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Screening HMO women overdue for both mammograms and pap tests.
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Screening HMO women overdue for both mammograms and pap tests.

机译：筛查过期的HMO妇女的乳房X线照片和巴氏试验。

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BACKGROUND: Regular screening has the potential to reduce breast and cervical cancer mortality, but despite health plan programs to encourage screening, many women remain unscreened. Tailored communications have been identified as a promising approach to promote mammography and Pap test screening. METHODS: The study used a four-group randomized design to compare with Usual Care the separate and combined effects of two tailored, motivational interventions to increase screening-a clinical office In-reach intervention and a sequential letter/telephone Outreach intervention. Subjects were 510 female HMO members ages 52-69 who had had no mammogram in the past 2 years and no Pap smear in the past 3 years. Primary outcomes were the percentage of women in each condition who received a mammogram, a Pap smear, or both screening tests during the 14-month study period. RESULTS: Thirty-two percent of the Combined group, 39% of the Outreach group, and 26% of the In-reach group obtained both services versus 19% of Usual Care participants. Overall, compared with Usual Care, both Outreach (P = 0.006) and Combined (P = 0.05) screened significantly more women. For subjects ages 65-69, Outreach rates were lower than those of Usual Care. CONCLUSION: A tailored letter-telephone Outreach appears to be more effective at screening women ages 52-64 than a tailored office-based intervention, in large part because most In-reach women did not have clinic visits at which to receive the intervention. Copyright 2002 American Health Foundation and Elsevier Science.
机译：背景：定期筛查有降低乳腺癌和宫颈癌死亡率的潜力，但是尽管制定了鼓励筛查的健康计划，许多妇女仍未筛查。量身定制的交流被认为是促进乳腺X线摄影和巴氏涂片检查筛查的一种有前途的方法。方法：该研究采用四组随机设计，与“常规护理”比较两种量身定制的动机干预以增加筛查的独立效果和综合效果，这是一种临床办公室门诊干预和连续信/电话门诊干预措施。受试者为510位年龄在52-69岁之间的HMO女会员，他们在过去2年中没有进行乳房X光检查，并且在过去3年中没有进行子宫颈抹片检查。主要结局是在14个月的研究期内接受乳房X线照片，巴氏涂片检查或两项筛查的妇女在每种情况下所占的百分比。结果：合并组的百分之三十二，外展组的百分之三十九和外展组的百分之二十六均获得了两项服务，而常规护理的参与者为百分之十九。总体而言，与常规护理相比，外展服务（P = 0.006）和综合服务（P = 0.05）筛查的女性明显更多。对于65-69岁的受试者，外展率低于“常规护理”。结论：量身定制的字母电话外展比筛查基于办公室的干预措施似乎更有效地筛查52-64岁的女性，这在很大程度上是因为大多数接触范围内的女性都没有接受该干预措施的诊所就诊。版权所有2002美国健康基金会和Elsevier Science。

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