Forging Implementation of Cancer Screening Reminder Systems (FICSRS)

描述（由申请人提供）：这项为期2年的队列研究将评价2006年1月开始的大规模筛查乳腺X线摄影患者提醒计划的实施情况。这一真实世界的案例研究将用于完善“FICS-it”概念模型，以实施癌症筛查提醒系统（“锻造癌症筛查实施”）。FICS-IT模型考虑了外部环境、干预设计、传播-实施基础设施、采用组织（特别强调医疗团队）及其患者。我们的工作将提供建议，以改善乳腺X线摄影筛查提醒程序的覆盖范围，有效性，采用，实施和维护（RE-AIM评估框架）。这项探索性研究的结果将用于开发和评估癌症筛查提醒计划的改进实施方法。在40岁或以上的妇女健康计划成员谁是由于重复筛查乳房X光检查（n= 32 500）和他们的卫生保健团队和其他关键工作人员，主要目标是：1。使用定量方法评价：a）患者提醒计划的总体有效性和维持程度，以改善重复乳房X线摄影筛查; B）医疗保健团队实施工作实践对总体计划有效性和维持的影响。2.描述并解释乳腺X线摄影患者提醒程序的覆盖范围、有效性、采用、实施和维护，使用综合概念框架指导的混合方法和多个视角。3.建议改进的方法，以提高乳腺X线摄影筛查患者提醒计划的覆盖范围、有效性、采用率、实施和维护，并根据目标1和目标2的结果，为未来的研究完善概念框架和研究工具。

DESCRIPTION (provided by applicant): This 2-year cohort study will evaluate the implementation of a large-scale screening mammography patient reminder program that began in January 2006. This real-world case study will be used to refine the "FICS-it" conceptual model for implementation of cancer screening reminder systems ("Forging Implementation of Cancer Screening"). The FICS-it model considers the external environment, intervention design, dissemination-implementation infrastructure, and adopting organization (with particular emphasis on the health care team) and its patients. Our work will provide recommendations to improve mammography screening reminder program Reach, Effectiveness, Adoption, Implementation, and Maintenance (the RE-AIM evaluation framework). Findings from this exploratory study will be used to develop and evaluate improved implementation methods for cancer screening reminder programs. Among women health plan members aged 40 or older who are due for a repeat screening mammogram (n= 32,500) and their health care teams and other key staff, primary aims are to: 1. Evaluate using quantitative methods: a) the degree of overall effectiveness and maintenance of a patient reminder program to improve repeat mammography screening and b) the impact of health care team implementation work practices on overall program effectiveness and maintenance. 2. Describe and explain the mammography patient reminder program Reach, Effectiveness, Adoption, Implementation, and Maintenance using mixed methods and multiple perspectives guided by a comprehensive conceptual framework. 3. Recommend improved methods to enhance Reach, Effectiveness, Adoption, Implementation, and Maintenance of screening mammography patient reminder programs, and refine the conceptual framework and research instruments for future research based on the findings from aims 1 and 2.