INTEGRATING AND PRIORITIZING CANCER PREVENTION IN MEDICAL PRACTICE

预防和早期检测服务经常相互交错 因为有多个系统和STS的建议， 交付他们。 因此，旨在提高遵守 推荐给他们。 因此，设计用于 越来越多地使用推荐服务往往会鼓励过度使用某些服务 一些人的资源，同时仍然留下了大量的 服务不足的人。 该项目侧重于系统的好处， 确定高度优先的癌症预防和早期检测需求， 将它们整合到一个单一的干预措施中， 干预作为改善向残疾人提供服务的手段 服务不足。 干预使用动机访谈和 鼓励有选择地提供所需的个人模型方法 尽可能的服务。 该项目的重点是妇女谁落入 乳房X光检查和子宫颈抹片检查安全网（自上次检查以来间隔过长） 和抽烟的女人 三个干预组是 改善向最需要的妇女提供的现有服务。 此外，我们亦会比较香港提供不必要的癌症控制服务的情况， 与常规护理进行比较，并评估 对患者对KP的满意度和系统成本进行干预。 的 研究采用2X2析因设计，其特征是系统输出的影响， 到达（邮件-电话），系统到达（此时基于诊所的干预 的主要CRE服务），并结合内及外展。 每个 将三种干预措施与常规护理进行比较， 在随访期间满足的高优先级需求的比例， 以及不必要的服务交付比例。

Prevention and early detection services often stumble over one another because there are multiple systems and sts of recommendations for delivering them. Consequently, systems designed to increase adherence to recommended for delivering them. Consequently, systems designed to increase adherence to recommended services often encourage over-use of some resources among some individuals while still leaving a substantial group of underserved persons. This project focuses on the benefit of a system for identifying high priority cancer prevention and early detection needs, integrating them into a single intervention, and delivering that intervention as a means of improving the delivery of services to the underserved. The intervention uses motivational interviewing and a personal models approach to encourage selective delivery of as many needed services as possible. The project focuses on women who fall into the mammography an pap smear safety nets (excessive interval since last tested) and women who smoke. The three intervention groups are methods for improving delivery of existing services to women in greatest need of them. We will also compare the delivery of unnecessary cancer control services in the groups compared to usual care, and assess the impact of the interventions on patient satisfaction with KP and cost to the system. The study has a 2X2 factorial design featuring the effects of a system Out- reach (mail-phone), system In-reach (clinic based intervention at th time of primary cre service), and combined In-reach and Out-reach. Each of the three interventions will be compared to usual care with respect to the proportion of high priority needs that are met during a follow-up interval, and athe proportion of unnecessary services delivered.