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首页> 外文期刊>Journal of community health >Increasing colorectal cancer screening in an overdue population: Participation and cost impacts of adding telephone calls to a fit mailing program
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Increasing colorectal cancer screening in an overdue population: Participation and cost impacts of adding telephone calls to a fit mailing program

机译：逾期人群中大肠癌筛查的增加：将电话添加到合适的邮件程序中的参与和成本影响

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Many people who live in rural areas face distance barriers to colonoscopy. Our previous study demonstrated the utility of mailing fecal immunochemical tests (FIT) to average risk patients overdue for colorectal cancer (CRC screening). The aims of this study were to determine if introductory and reminder telephone calls would increase the proportion of returned FITs as well as to compare costs. Average risk patients overdue for CRC screening received a high intensity intervention (HII), which included an introductory telephone call to see if they were interested in taking a FIT prior to mailing the test out and reminder phone calls if the FIT was not returned. This HII group was compared to our previous low intensity intervention (LII) where a FIT was mailed to a similar group of veterans with no telephone contact. While a higher proportion of eligible respondents returned FITs in the LII (92 vs. 45 %), there was a much higher proportion of FITs returned out of those mailed in the HII (85 vs. 14 %). The fewer wasted FITs in the HII led to it having lower cost per FIT returned (27.43 vs. 44.86). Given that either intervention is a feasible approach for patients overdue for CRC screening, health care providers should consider offering FITs using a home-based mailing program along with other evidence-based CRC screening options to average risk patients. Factors such as location, patient population, FIT cost and reimbursement, and personnel costs need to be considered when deciding the most effective way to implement FIT screening.
机译：许多生活在农村地区的人面临着结肠镜检查的距离障碍。我们之前的研究表明，通过邮寄粪便免疫化学测试（FIT）可以将逾期未交结直肠癌的高风险患者（CRC筛查）平均化。这项研究的目的是确定介绍性电话和提醒性电话是否会增加返还的散客信托的比例以及比较成本。逾期未进行CRC筛查的普通风险患者接受了高强度干预（HII），其中包括一个介绍性电话，以了解他们是否有兴趣在邮寄测试之前参加FIT，并在未退回FIT时进行电话提醒。该HII组与我们以前的低强度干预（LII）进行了比较，在LII中，FIT被邮寄给了类似的没有电话联系的退伍军人。虽然合格的受访者中有LIT的FIT退回的比例较高（92比45％），但从HII寄出的FIT中有较高比例的退回（85 VS 14％）。 HII中浪费的FIT越少，导致其返还的FIT成本也越低（27.43比44.86）。鉴于任何一种干预措施对于逾期未进行CRC筛查的患者都是可行的方法，因此医疗保健提供者应考虑使用家庭邮寄程序以及其他基于证据的CRC筛查选项向普通风险患者提供FIT。在决定实施FIT筛查的最有效方法时，需要考虑位置，患者人数，FIT费用和报销以及人员费用等因素。

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