Women's colposcopy experience and preferences: a mixed methods study.
Women's colposcopy experience and preferences: a mixed methods study.
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DOI：
10.1186/1472-6874-8-2
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发表时间：
2008-01-14
期刊：
影响因子：
--
通讯作者：
Wilson S
中科院分区：
文献类型：
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作者：
Swancutt DR;Greenfield SM;Wilson S
阴道镜检查服务是英国宫颈筛查计划的重要组成部分。每年有超过 120,000 名女性被转介到该服务机构，但高达 25% 的女性未能参加预约。关于患者对阴道镜检查和治疗的偏好知之甚少。本研究旨在调查女性阴道镜检查的体验，了解患者对阴道镜检查服务预约方面的偏好，并提出改进服务的建议。本研究被设计为一个两阶段的混合方法项目。第一阶段将涉及对新阴道镜检查患者的深入访谈，以确定他们对阴道镜检查服务的体验。这个定性阶段将产生服务用户认为对其体验很重要的因素。第二阶段将利用基于选择的定量技术来确定女性的偏好并确定通过访谈产生的因素的代表性。深度访谈的初始阶段将对新转诊至阴道镜诊所的患者进行，以调查他们对转诊过程和预约出勤的体验。这些访谈的结果将使用框架分析进行定性分析。将提取对女性经历重要的因素并用于构建基于选择的调查问卷。离散选择实验（问卷）将通过基于场景的问题应用最佳-最差技术，以找出女性对服务不同方面的相对偏好。该服务将提供给在西米德兰兹郡两家阴道镜诊所进行后续预约的女性。女性将在等待预约时填写调查问卷，或者，如果她们愿意，也可以将其带回家私下完成。未出席预约的女性将被张贴研究信息和调查问卷。问卷分析将对每个最佳/最差对使用加权最小二乘回归技术。将使用随机效应 Logit 模型来分析接受/拒绝“您愿意参加这次约会吗”问题。阴道镜检查是一种常见的手术，并且会增加接受该服务的女性的焦虑感。人们对女性的服务体验或她们对服务提供的偏好知之甚少。研究结果将包括对女性阴道镜检查经历的描述，并确定她们对如何提供服务的偏好。妇女的偏好将反馈给服务提供商，以便改进服务。
The colposcopy service is a key component in the UK Cervical Screening Programme. Over 120,000 women are referred to the service annually, however up to 25% of women fail to attend their appointment. Little is known about patients' preferences for colposcopic investigation and treatment. This study aims to investigate women's experience of colposcopy, to identify patients' preferences for aspects of appointments within the colposcopy service, and to make suggestions for service improvement. This study has been designed as a two stage, mixed method project. Stage one will involve in-depth interviews with new colposcopy patients to ascertain their experience of colposcopy services. This qualitative stage will generate factors thought to be important by service users in their experience. Stage two will utilise a choice based quantitative technique to identify women's preferences and determine the representativeness of factors generated through the interviews. The initial stage of in-depth interviews will be conducted with patients who are newly referred to colposcopy clinics to investigate the experience that they have of the referral process and appointment attendance. The outcome of these interviews will be analysed qualitatively using Framework analysis. Factors found to be important in women's experience will be extracted and used to construct a choice based questionnaire. The discrete choice experiment (questionnaire) will apply a best-worst technique through scenario-based questions to find women's relative preferences for different aspects of the service. It will be offered to women attending follow-up appointments at two colposcopy clinics in the West Midlands. Women will complete the questionnaire whilst they wait for their appointment, or, if they prefer, will take it home to complete in private. Women who do not attend their appointment will be posted the research information and questionnaire. The questionnaire analysis will use a weighted least squares regression technique for each best/worst pair. The accept/reject 'would you attend this appointment' question will be analysed using a random effects logit model. Colposcopy is a common procedure and one that is associated with raised anxiety among women experiencing the service. Little is known about women's experience of the service or their preferences for service delivery. The outcomes of the study will comprise a description of women's experience of colposcopy and establishing their preferences for how aspects of the service should be provided. Women's preferences will be fed back to service providers to enable improvements to the service to be made.