Women's views on reminder letters for screening mammography: Mixed methods study of women from 23 family health networks.
Women's views on reminder letters for screening mammography: Mixed methods study of women from 23 family health networks.
复制标题
女性对乳房 X 光检查提醒信的看法：对 23 个家庭健康网络的女性进行的混合方法研究。
DOI：
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复制
发表时间：
2009
期刊：
影响因子：
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通讯作者：
R. Sebaldt
中科院分区：
文献类型：
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作者：
J. Kaczorowski;Tina L Karwalajtys;L. Lohfeld;Stephanie Laryea;K. Anderson;S. Roder;R. Sebaldt
目的
探讨妇女对家庭医生发出的乳房X光检查提醒信的接受程度和内容的看法，以及这些信件对检查意愿的影响。
设计
横截面邮寄调查，然后与一个小组的受访者焦点小组。
设置
安大略。
参与者
从参加增加预防服务示范项目的23个家庭保健网络和初级保健网络中各随机挑选一名家庭医生。从每位医生的执业名册中，随机选择了35名年龄在50至69岁之间的妇女，这些妇女应进行或逾期进行乳房X光检查，并且在过去6个月内收到了家庭医生的提醒信。
主要观察指标
回忆收到的提醒信及其内容，这些信件对决定进行乳房X线检查的影响，以及对未来收到提醒信的兴趣。与调查对象的焦点小组访谈使用标准化访谈指南更深入地探讨了调查结果。
结果
对调查的答复率为55.7%（689人中的384人），45.1%（384人中的173人）的答复妇女报告在过去6个月内进行了乳房X光检查。在回忆收到信件并预约或进行乳房X光检查的妇女中，74.8%（163人中的122人）表示信件对她们的决定产生了重大影响。大多数受访者（77.1% [384人中的296人]）表示他们希望继续收到提醒，28.9%（384人中的111人）表示他们希望收到有关乳房X线照片的更多信息。2个焦点小组（n = 3和n = 5）的参与者表示，他们认为信件反映了医生对乳腺X射线摄影筛查的积极态度。他们还评论说，新符合条件的妇女与过去做过乳房X光检查的妇女有不同的信息需求。
结论
与会者认为提醒信是有用的，似乎会影响妇女接受乳房X光检查的决定。
OBJECTIVE
To explore women's perspectives on the acceptability and content of reminder letters for screening mammography from their family physicians, as well as such letters' effect on screening intentions.
DESIGN
Cross-sectional mailed survey followed by focus groups with a subgroup of respondents.
SETTING
Ontario.
PARTICIPANTS
One family physician was randomly selected from each of 23 family health networks and primary care networks participating in a demonstration project to increase the delivery of preventive services. From the practice roster of each physician, up to 35 randomly selected women aged 50 to 69 years who were due or overdue for screening mammograms and who had received reminder letters from their family physicians within the past 6 months were surveyed.
MAIN OUTCOME MEASURES
Recall of having received reminder letters and of their content, influence of the letters on decisions to have mammograms, and interest in receiving future reminder letters. Focus group interviews with survey respondents explored the survey findings in greater depth using a standardized interview guide.
RESULTS
The response rate to the survey was 55.7% (384 of 689), and 45.1% (173 of 384) of responding women reported having mammograms in the past 6 months. Among women who recalled receiving letters and either making appointments for or having mammograms, 74.8% (122 of 163) indicated that the letters substantially influenced their decisions. Most respondents (77.1% [296 of 384]) indicated that they would like to continue to receive reminders, and 28.9% (111 of 384) indicated that they would like to receive additional information about mammograms. Participants in 2 focus groups (n = 3 and n = 5) indicated that they thought letters reflected a positive attitude of physicians toward mammography screening. They also commented that newly eligible women had different information needs than women who had had mammograms done in the past.
CONCLUSION
Reminder letters were considered by participants to be useful and appeared to influence women's decisions to undergo mammography screening.
利用焦点小组的反馈改进预防性服务提醒系统。
DOI：
10.1001/archfami.3.9.801
发表时间：
1994
期刊：
Archives of family medicine
影响因子：
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作者：
Ornstein,SM;Musham,C;Reid,AO;Garr,DR;Jenkins,RG;Zemp,LD
通讯作者：
Zemp,LD