IMPROVING COLORECTAL CANCER SCREENING BY OB/GYNS

描述：（申请人描述）适当的结直肠癌（CRC） 使用粪便潜血试验（FOBT）进行筛查可以大大减少CRC mortality. 该提案的目标是增加妇女的CRC筛查 他们将产科医生/妇科医生（OB/GYN）视为他们的主要保健提供者。 不到20%的合格人员每年按照建议向FOBT提交申请。 妇产科医生为妇女提供大部分预防性保健服务。 高达 50%有资格接受CRC筛查的妇女将OB/GYN视为其健康来源。 初级保健. 初步研究表明，OB/GYN促进CRC筛查 甚至低于其他类型的初级保健提供者。 的影响因素 由产科医生/妇科医生提供CRC筛查以及CRC筛查的使用 对女性的描述很差。 为了更好地理解这些决定因素，我们 将首先对符合筛查条件的妇女进行基于人口的调查。 除了利用率之外，这次电话调查还将评估妇女的 关于《儿童权利公约》和《儿童权利公约》筛查的知识、信念和态度。 调查 信息，再加上其他初步数据，从产科/妇科医生和病人 将指导发展简单，广泛适用，书面教育 旨在教育OB/GYN及其患者有关CRC和 筛选的重要性。 为了确定这些目标教育 干预措施可以加强CRC筛查，我们建议将OB/GYN随机化 杰斐逊卫生系统的做法，和他们的病人，要么是一个 以病人为导向或以医生为导向的教育干预。 在第二 在第一阶段，我们将研究这两种干预措施对CRC的影响 筛查率。 妇产科医生和他们的病人从来没有这样的焦点 努力 这一提供商群体可能代表着一种尚未开发的资源， CRC筛查。 这一建议是我以前研究的一个重要延伸 关于女性结直肠癌风险，使用FOBT进行CRC筛查， 适当提供CRC筛查的障碍，以及医生和患者 教育干预作为改善临床结果的手段。 它 代表了我努力建立研究生涯的一个重要组成部分 重点关注胃肠道肿瘤的预防和控制。

DESCRIPTION: (Applicant's Description) Appropriate colorectal cancer (CRC) screening using fecal occult blood testing (FOBT) can substantially reduce CRC mortality. The goal of this proposal is to increase CRC screening for women who view an Obstetrician/Gynecologist (OB/GYN) as their primary care provider. Less than 20% of eligible persons submit annually to FOBT as recommended. OB/GYNs provide the majority of preventive health services to women. Up to 50% of women eligible for CRC screening view OB/GYNs as their source of primary care. Preliminary studies suggest that OB/GYNs promote CRC screening even less than other types of primary care provider. The factors influencing the provision of CRC screening by OB/GYNs and the utilization of CRC screening by women are poorly described. To better understand these determinants, we will first perform a population-based survey of women eligible for screening. In addition to utilization, this telephone survey will assess women's' knowledge, beliefs and attitudes regarding CRC and CRC screening. Survey information, coupled with other preliminary data from OB/GYNs and patients will guide the development of simple, broadly applicable, written educational tools intended to educate OB/GYNs and their patients about CRC and the importance of screening. To determine whether these targeted educational interventions can enhance CRC screening, we propose to randomize OB/GYN practices in the Jefferson Health System, and their patients, to either a patient-directed or physician-directed educational intervention. In a second phase we will study the effect of these two interventions together on CRC screening rates. OB/GYNs and their patients have never been a focus of such efforts. This provider group may represent an untapped resource to increase CRC screening. This proposal is an important extension of my previous studies on colorectal cancer risk for women, the use of FOBT for CRC screening, barriers to appropriate provision of CRC screening, and physician and patient educational interventions as a means to improve clinical outcomes. It represents a crucial component in my efforts to build a research career focused on gastrointestinal cancer prevention and control.