Sigmoidoscopy is an effective screening strategy for colorectal cancer that is not widely used by primary care providers.
The aim of this study was to assess the impact of « academic detailing » in the form of an outreach educational seminar combined with implementation of on-site sigmoidoscopy services performed by university-based gastroenterologists on provider compliance.
A controlled trial was initiated at 9 urban neighborhood health centers, including 4 intervention and 5 comparison sites.
Baseline data on provider attitudes and practice patterns were collected using a validated questionnaire.
Outcome measures included a year 1 follow-up survey of provider attitudes and quarterly review of screening sigmoidoscopy referrals using appointment logs to assess utilization.
Overall self-reported compliance rates for screening sigmoidoscopy increased by 36% (baseline, 24% ; year 1,60%) for the intervention group vs. only 7% (baseline, 19% ; year 1,26%) for the comparison group (P=0.001).
When stratified by site, compliance rates increased at each intervention site (range, 7% - 92%) but at only 2 control sites.
Use of screening sigmoidoscopy was also significantly greater at the intervention sites (47% vs. 4% ; P<0.001).
An outreach educational seminar combined with implementation of on-site sigmoidoscopy services is an effective strategy for enhancing provider utilization of screening sigmoidoscopy.
Mots-clés Pascal : Tumeur maligne, Côlon, Rectum, Colonoscopie, Dépistage, Optimisation, Prescription médicale, Formation professionnelle, Implémentation, Homme, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie, Endoscopie
Mots-clés Pascal anglais : Malignant tumor, Colon, Rectum, Colonoscopy, Medical screening, Optimization, Medical prescription, Occupational training, Implementation, Human, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease, Endoscopy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0459402
Code Inist : 002B30A01C. Création : 22/03/2000.