Forging Implementation of Cancer Screening Reminder Systems (FICSRS)

描述（由申请人提供）：这项为期2年的队列研究将评估自2006年1月开始的大规模乳房x光检查患者提醒项目的实施情况。这一真实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（“促进癌症筛查的实施”）。FICS-it模型考虑了外部环境、干预设计、传播实施基础设施和采用组织（特别强调卫生保健团队）及其患者。我们的工作将为改善乳房x光筛查提醒程序的覆盖、有效性、采用、实施和维护（RE-AIM评估框架）提供建议。这项探索性研究的结果将用于开发和评估癌症筛查提醒项目的改进实施方法。在40岁或40岁以上的妇女健康计划成员（n= 32,500）及其保健团队和其他主要工作人员中，主要目标是：1。采用定量方法进行评估：a)提高重复乳房x光检查的患者提醒计划的总体有效性和维持程度；b)卫生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. 在综合概念框架的指导下，用混合方法和多角度描述和解释乳房x光检查患者提醒计划的范围、有效性、采用、实施和维护。3. 建议改进方法，以提高乳房x光筛查患者提醒项目的覆盖面、有效性、采用、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.