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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Colorectal cancer,mass screening,quality improvement,quantitative,Primary Health Care
- چکیده:
- چکیده انگلیسی: Background: Understanding factors causing variation in family physicians/general practitioners (GPs) screening knowledge, understanding and support of organised population-based colorectal cancer (CRC) programs can direct interventions that maximise the influence of a CRC screening recommendation from a GP. This study aims to assess contextual factors that influence knowledge and quality improvement (QI) practice directed to CRC screening in Australian general practice. Methods: A convenience sample of anonymous general practice staff from all Australian states and territories completed a web-based survey. Multivariate analyses assessed the association between CRC screening knowledge and QI-CRC practice scores and patient, organisational and environmental-level contextual factors. Results: Of 1,013 survey starts, 918 respondents (90.6%) completed the survey. Respondents less likely to recommend FOBT screening had lower knowledge and QI practice scores directed to CRC screening. Controlling for individual and practice characteristics, respondents’ rating of the Australian National Bowel Cancer Screening Program (NBCSP) support for preventive care, attending external education, and sufficient practice resources to implement QI practice (generally) were the strongest factors associated with QI practice directed towards CRC screening. Knowledge scores were less amenable to the influence of contextual factors explored. Conclusion: More active engagement of family medicine/general practice to improve screening promotion could be achieved through better QI resourcing without changing the fundamental design of population-based CRC screening programs.
- انتشار مقاله: 12-01-1399
- نویسندگان: Carol A Holden,Oliver Frank,Ming Li,Ramesh Manocha,Joanna Caruso,Deborah Turnbull,Richard L Reed,Caroline L Miller,David Roder,Ian Olver
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Accuracy,Cancer Incidence,Bangkok
- چکیده:
- چکیده انگلیسی: Objective: Cancer-registry data are crucial for definingcancer incidence rates for use in setting service priorities
and monitoringservice effects. This applies in Thailand where cancer is the leading cause of death and service needs
are high. The Bangkok Cancer Registry (population-based) was established in 1990to determine cancer incidence rates
for Bangkok. This proved difficult, however, because the Bangkokpopulation (>8million) fluctuates with numbers of
temporary visitors, many of whom visit Bangkok temporarily for services. If these visitors are mis-categorized as
usual residents, cancer incidence rateswould be inflated. During 2013-2015, residential addresses on the Registry
were cross-checked against official addresses on the National Civil Registration records of the Ministry of Interior.
The effectsof this cross-checking on incidence rates are discussed. Methods: Residential addresses recorded on
the Registry for cancer diagnoses in 2013-2015 were corrected using official Ministry data. Effects on numbers of
recorded cancers and crude and directly age-standardized rates (World Population) were determined. Results: Of 44,813
cancer casesdiagnosed and recorded on the Registryduring 2013-2015, 36,327 (81.1%) had an official Bangkok
address. When limiting analyses to these cases, the crude incidencefor all cancer sites combined reduced by 18.9%
(19.7% for males and 18.3% for females). Corresponding reductions in age-standardized incidence rates were 20.0%
for males and 18.8% for females. These reductions varied for common cancer sites:in males,from 14.8% for lung to
25.9% for colorectal cancer; and in females, from 12.9% for lung to 24.0% for cervical cancer. Conclusions: These
differences are considered sufficient in magnitude to justifyroutine use of official residential data when calculating
cancer incidence rates for Bangkok. If these rates are to be compared with comparable rates for other Asian citiesthat
serve broader populations, equivalent methodologies for determining residential status would be needed for all cities.- انتشار مقاله: 26-02-1397
- نویسندگان: Rangsiya Buasom,David Roder,Nisit Singhakosit,Siriphon Sitthikong,Elizabeth Buckley,Suleeporn Sangrajrang
- مشاهده