Estimating time and travel costs incurred in clinic based screening: flexible sigmoidoscopy screening for colorectal cancer
Estimating time and travel costs incurred in clinic based screening: flexible sigmoidoscopy screening for colorectal cancer
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DOI：
10.1136/jms.6.3.119
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发表时间：
1999-01-01
影响因子：
2.9
通讯作者：
Whynes, DK
中科院分区：
文献类型：
--
作者：
Frew, E;Wolstenholme, JL;Whynes, DK
Objectives-To identify the characteristics of mode of travel to screening clinics; to estimate the time and travel costs accompanied in attending; to investigate whether such costs are Likely to bias screening compliance.Setting-Twelve centers in the trial of flexible sigmoidoscopy screening for colorectal cancer，draw from om across Great Britain. Method-Analysis of 3525 questionnaire completed by screening subjects while attending clinics.所提供的信息包括社会人口特征，旅行方式，费用，活动放弃由于出席，和companions. Results的细节80%以上的主题到达诊所的汽车，约三分之二的陪同。平均而言，诊所访问涉及14.4英里（22.8公里）的往返行程，需要130分钟。每位受试者的平均旅费为6.10磅。每名受试者的平均直接非医疗和间接总成本为16.90磅，每次就诊的平均总成本为22.40磅。与英国整体人口相比，参加者中非体力劳动阶层的代表性更强，而自雇人士的代表性较弱。结论-与直接医疗成本相关，基于诊所的筛查的时间和差旅成本可能很大，可能会影响筛查计划的总体成本效益，并可能阻止潜在受试者参加。
Objectives-To identify the characteristics of mode of travel to screening clinics; to estimate the time and travel costs incurred in attending; to investigate whether such costs are Likely to bias screening compliance.Setting-Twelve centres in the trial of flexible sigmoidoscopy screening for colorectal cancer, drawn fi om across Great Britain.Method-Analysis of 3525 questionnaires completed by screening subjects while attending clinics. Information supplied included sociodemographic characteristics, modes of travel, expenses, activities forgone owing to attendance, and details of companions.Results-More than 80% of subjects arrived at the clinics by car, and about two thirds were accompanied. On average, the clinic visit involved a 14.4 mile (22.8 km) round trip, requiring 130 minutes. Mean travel costs amounted to pound 6.10 per subject. The mean gross direct non-medical and indirect cost per subject amounted to pound 16.90, and the mean overall gross cost per attendance was pound 22.40. Compared with the Great Britain population as a whole, nonmanual classes were more strongly represented, and the self employed less strongly represented, among the attendees.Conclusions-In relation to direct medical costs, the time and travel costs of clinic based screening can be substantial, may influence the overall cost effectiveness of a screening programme, and may deter potential subjects from attending.