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báo cáo khoa học: " The uptake and effect of a mailed multi-modal colon cancer screening intervention: A pilot controlled trial"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: The uptake and effect of a mailed multi-modal colon cancer screening intervention: A pilot controlled trial | Implementation Science BioMed Central Research article Open Access The uptake and effect of a mailed multi-modal colon cancer screening intervention A pilot controlled trial Carmen L Lewis 1 2 Alison T Brenner2 Jennifer M Griffith2 and Michael P Pignone1 2 Address 1Division of General Internal Medicine and Clinical Epidemiology University of North Carolina Chapel Hill NC USA and 2Cecil G Sheps Center for Health Services Research Chapel Hill NC USA Email Carmen L Lewis - Carmen_Lewis@med.unc.edu Alison T Brenner - alison.brenner@unc.edu Jennifer M Griffith - jgriffith@unc.edu Michael P Pignone - Pignone@med.unc.edu Corresponding author Published 2 June 2008 Received 25 May 2007 Implementation Science 2008 3 32 doi 10.1186 1748-5908-3-32 Accepted 2 June 2008 This article is available from http www.implementationscience.cOm content 3 1 32 2008 Lewis et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background We sought to determine whether a multi-modal intervention which included mailing a patient reminder with a colon cancer decision aid to patients and system changes allowing direct access to scheduling screening tests through standing orders would be an effective and efficient means of promoting colon cancer screening in primary care practice. Methods We conducted a controlled trial comparing the proportion of intervention patients who received colon cancer screening with wait list controls at one practice site. The intervention was a mailed package that included a letter from their primary care physician a colon cancer screening decision aid and instructions for obtaining each screening test without an office visit so that patients could access screening tests directly. Major outcomes were screening test .