NEW HANOVER BREAST CANCER SCREENING PROGRAM

我们提出了一个全面的计划来增加和改进 乳腺癌筛查(BCS)，包括年度临床乳房检查 年50至74岁妇女的检查和乳房X光检查 北卡罗来纳州新汉诺威县该计划将由一名 由当地医疗领导和项目调查人员组成的委员会。 干预措施将针对1)初级保健医生，2) 放射科医生，以及3)50岁至74岁的社区妇女。为 医生，一次教育会议，重点是 乳房X光摄影，为提高乳房X光检查性能而进行的培训课程 临床乳房检查，并采用提示系统 为了提醒医生进行BCS检查，将介绍。北卡罗来纳大学 放射科医生将与当地放射科医生合作，建立正在进行的 乳房X光照相的质量保证系统。放射科医生和 当地医疗领导将努力实现高质量 乳房X光检查收费较低。最后，一个社区 这项发明将提高女性对BCS的认识和使用 大众媒体的宣传。此外，还有一个患者提示程序 使用书面材料(小册子、海报和卡片)会提醒你 患者询问他们的医生关于BCS的情况。每一位 将以模块化方式制定干预措施，以便在 有用的是，它可以在全国其他社区使用。 评估将包括新版本的测试前和测试后测量 汉诺威乡村和一个控制社区，皮特县：1)A 对50至74岁的女性进行电话调查，以确定 上一年获得学士学位的百分比；2)A 对医生进行电话调查，以确定知识/态度 走向BCS；3)乳房肿块检测能力评估 医生，使用人造硅胶乳房模型；4) 回顾病历以确定BCS在中国的频率 医生的执业；5)记录以下项目的数量和费用 进行的乳房X光检查和质量的存在/程度 放射单位乳房X光照相的保证；和6)回顾 当地医院的病理报告记录了病理 所有新诊断乳腺癌的分期。

We propose a comprehensive program to increase and improve breast cancer screening (BCS), including annual clinical breast examination and mammography among women ages 50 to 74 in New Hanover County, NC. The program will be coordinated by a committee of local medical leaders and the project investigators. Interventions will be aimed at 1) Primary Care Physicians, 2) Radiologists, and 3) Community Women ages 50 to 74. For physicians, an educational meeting focusing on the need for mammography, training sessions for improved performance of the clinical breast examination, and adoption of a prompting system to remind physicians to perform BCS will be introduced. UNC radiologists will work with local radiologists to establish ongoing quality assurance systems for mammography. Radiologists and local medical leaders will work to make high quality mammography available at lower charges. Finally, a Community Invention will increase women's awareness and use of BCS with a mass media compaign. In addition, a patient-prompting program using written material (pamphlets, posters, and cards) will remind patients to ask their physicians about BCS. Each of the interventions will be developed in a modular fashion so that if useful, it can be used in other communities around the country. Evaluation will include pre- and post-test measurements in New Hanover Country and a control community, Pitt County: 1) A telephone survey of women ages 50 to 74 to determine the percentage who have received BCS in the previous year; 2) A telephone survey of physicians, to determine knowledge/attitudes towards BCS; 3) Assessment of breast lump detection competency of physicians, using manufactured silicone breast models; 4) Review of medical records to determine frequency of BCS in physicians' practices; 5) Documentation of the number and cost of mammograms performed and the existence/extent of quality assurance for mammography in radiology units; and 6) Review of local hospital pathology reports to document the pathological stage of all newly diagnosed breast cancers.