Implementation of on-site screening sigmoidoscopy positively influences utilization by primary care providers.
Implementation of on-site screening sigmoidoscopy positively influences utilization by primary care providers.
复制标题
乙状结肠镜现场筛查的实施对初级保健提供者的利用产生积极影响。
DOI：
10.1053/gast.1999.0029900304
复制
发表时间：
1999
期刊：
影响因子：
29.4
通讯作者：
Prout,M
中科院分区：
文献类型：
--
作者：
Schroy,PC;Heeren,T;Bliss,CM;Pincus,J;Wilson,S;Prout,M
Background & AimsSigmoidoscopy is an effective screening strategy for colorectal cancer that is not widely used by primary care providers. The aim of this study was to assess the impact of “academic detailing” in the form of an outreach educational seminar combined with implementation of on-site sigmoidoscopy services performed by university-based gastroenterologists on provider compliance.MethodsA controlled trial was initiated at 9 urban neighborhood health centers, including 4 intervention and 5 comparison sites. Baseline data on provider attitudes and practice patterns were collected using a validated questionnaire. Outcome measures included a year 1 follow-up survey of provider attitudes and quarterly review of screening sigmoidoscopy referrals using appointment logs to assess utilization.ResultsOverall self-reported compliance rates for screening sigmoidoscopy increased by 36% (baseline, 24%; year 1, 60%) for the intervention group vs. only 7% (baseline, 19%; year 1, 26%) for the comparison group (P = 0.001). When stratified by site, compliance rates increased at each intervention site (range, 7%-92%) but at only 2 control sites. Use of screening sigmoidoscopy was also significantly greater at the intervention sites (47% vs. 4%; P ≤ 0.001).ConclusionsAn outreach educational seminar combined with implementation of on-site sigmoidoscopy services is an effective strategy for enhancing provider utilization of screening sigmoidoscopy.
