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Titolo:
A randomized controlled trial of a clinic-based support staff interventionto increase the rate of fecal occult blood test ordering
Autore:
Thompson, NJ; Boyko, EJ; Dominitz, JA; Belcher, DW; Chesebro, BB; Stephens, LM; Chapko, MK;
Indirizzi:
Univ Iowa, Coll Publ Hlth, Dept Community & Behav Hlth, Iowa City, IA 52242 USA Univ Iowa Iowa City IA USA 52242 ty & Behav Hlth, Iowa City, IA 52242 USA VA Puget Sound Hlth Care Syst, Seattle Div, Epidemiol Res & Informat Ctr, Seattle, WA 98108 USA VA Puget Sound Hlth Care Syst Seattle WA USA 98108 Seattle, WA 98108 USA VA Puget Sound Hlth Care Syst, Seattle Div, Med Serv, Seattle, WA 98108 USA VA Puget Sound Hlth Care Syst Seattle WA USA 98108 Seattle, WA 98108 USA VA Puget Sound Hlth Care Syst, Seattle Div, Gastroenterol Sect, Seattle, WA 98108 USA VA Puget Sound Hlth Care Syst Seattle WA USA 98108 Seattle, WA 98108 USA VA Puget Sound Hlth Care Syst, Seattle Div, Gen Internal Med Sect, Seattle, WA 98108 USA VA Puget Sound Hlth Care Syst Seattle WA USA 98108 Seattle, WA 98108 USA VA Puget Sound Hlth Care Syst, Seattle Div, Hlth Serv Res & Dev Serv, Seattle, WA 98108 USA VA Puget Sound Hlth Care Syst Seattle WA USA 98108 Seattle, WA 98108 USA Univ Washington, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 iv Washington, Seattle, WA 98195 USA Johns Hopkins Univ, Sch Med, Baltimore, MD 21218 USA Johns Hopkins Univ Baltimore MD USA 21218 ch Med, Baltimore, MD 21218 USA
Titolo Testata:
PREVENTIVE MEDICINE
fascicolo: 3, volume: 30, anno: 2000,
pagine: 244 - 251
SICI:
0091-7435(200003)30:3<244:ARCTOA>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
COLORECTAL-CANCER; PREVENTIVE CARE; REMINDERS; PHYSICIANS;
Keywords:
allied health personnel; colorectal neoplasms; mass screening; occult blood; practice guidelines; preventive medicine; randomized controlled trials; reminder systems;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Thompson, NJ Univ Iowa, Coll Publ Hlth, Dept Community & Behav Hlth, Iowa City, IA 52242 USA Univ Iowa Iowa City IA USA 52242 th, Iowa City, IA 52242 USA
Citazione:
N.J. Thompson et al., "A randomized controlled trial of a clinic-based support staff interventionto increase the rate of fecal occult blood test ordering", PREV MED, 30(3), 2000, pp. 244-251

Abstract

Background. Colorectal cancer is the second most common fatal malignancy in the United States. Early detection using fecal occult blood tests has been shown to reduce mortality, but these tests are underutilized among those eligible for this screening, Attempts to increase use of fecal occult bloodtests in eligible populations have focused on the provider, patient, or system, But none have examined whether a support-staff intervention is effective in achieving this aim. We therefore conducted a randomized controlled trial to test the impact of authorizing support staff to order fecal occult blood tests in a general internal medicine clinic organized into four teams. Methods. A total of 1,109 patients were included in the study, 545 of whomwere in the two teams randomized to treatment, Univariate and multivariateregression analyses were used to evaluate the impact of the intervention. Results. The intervention resulted in significantly more fecal occult blood test ordering in the treatment group than in the control group for all patients (52% vs 15%, P < 0.001), Treatment fecal occult blood test cards were returned as frequently as the control cards for all patients (44% vs 48%,P = 0.571). Conclusion. Delegation of selected screening tasks to support staff can enhance patient access to preventive care. (C) 2000 American Health Foundation and Academic Press.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/07/20 alle ore 09:56:27