Do vouchers improve breast cancer screening rates? Results from a randomized trial.
Do vouchers improve breast cancer screening rates? Results from a randomized trial.
复制标题
代金券可以提高乳腺癌筛查率吗？
DOI：
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发表时间：
1998
影响因子：
3.4
通讯作者：
Jack S. Mandel
中科院分区：
文献类型：
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作者：
T. Stoner;Bryan E Dowd;W. Carr;George Maldonado;Timothy R. Church;Jack S. Mandel
目的
确定免费乳腺X线摄影优惠券对遵守推荐的乳腺X线摄影筛查指南的影响。
研究设计
在明尼苏达州南部的两个农村县，向50岁以上的妇女随机抽样发放免费乳房X光检查。代金券有效期为一年。收集基线和随访数据，观察代金券组和居住在同一县的对照组妇女遵守现行乳房X线摄影指南的比率。
方法
逻辑回归模型被用来估计的效果，凭证对遵守乳腺X线摄影指南和影响因素的影响，可能会影响凭证的有效性。
主要调查结果
该代金券主要通过增加基线时不遵守规定的妇女的筛查来提高乳房X光检查率。
结论
即使在中西部农村妇女中随机分布，也可以显着提高依从率。与其他妇女相比，在增加易受伤害妇女的筛查方面，体检者是一种有效的手段。
OBJECTIVE
To determine the effect of a voucher for free mammography on compliance with recommended mammography screening guidelines.
STUDY DESIGN
Vouchers for free mammography distributed to a random sample of women over the age of 50 in two rural southern Minnesota counties. The vouchers were good for one year. Baseline and follow-up data were collected and rates of compliance with current mammography guidelines were observed for the voucher group and a control group of women living in the same counties.
METHODS
Logistic regression models were used to estimate the effect of the voucher on compliance with mammography guidelines and the impact of factors potentially influencing the effectiveness of the voucher.
PRINCIPAL FINDINGS
The voucher improved mammography rates primarily through increasing screening among women who were out of compliance at baseline.
CONCLUSIONS
Vouchers, even when distributed randomly within a population of rural Midwestern women, can significantly improve compliance rates. Vouchers are no less effective a means of increasing screening among vulnerable women than among other women.