Incidental findings in a federally-sponsored cancer screening program

作     者：Roof, K Gregorio, DI Kulko, J Palermino, D 

作者机构：Univ Connecticut Sch Med Dept Community Med Farmington CT 06030 USA Hartford Hosp Canc Clin Res Off Hartford CT 06102 USA Hartford Hosp Womens Ambulatory Hlth Serv Hartford CT 06102 USA 

出 版 物：《JOURNAL OF COMMUNITY HEALTH》 (社区卫生杂志)

年 卷 期：1999年第24卷第4期

页      面：305-312页

核心收录：

学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

主　　题：健康态度 乳腺肿瘤/诊断 社区卫生服务/统计学和数值数据 社区卫生服务/利用 康涅狄格 教育程度 卫生服务易得程度 健康状况 缺医地区 公共卫生 随机分配 转诊和会诊/统计学和数值数据 宫颈肿瘤/诊断 妇女卫生保健服务/统计学和数值数据 妇女卫生保健服务/利用 女(雌)性 人类 中年人 

摘      要：The volume of non-cancer related clinical services and referrals for medical care of women as a consequence of their enrollment in a federally-sponsored breast and cervical cancer screening program was examined. We randomly sampled 100 medical records from among 389 individuals who received cancer screening services through the Connecticut Breast and Cervical Cancer Early Detection Program. Medical record audits tabulated occasions when women were offered or received diagnostic or therapeutic procedures as a by product of their program participation, Breast screening was provided to 100 women and 49 individuals received cervical cancer screening. In addition, 87 percent of the sample were offered or received one or more non-cancer related health services. Physical exams were provided to 86 women, laboratory tests were ordered for 11 individuals and 55 referrals were made to address a myriad of specific medical needs that were uncovered incidental to breast and cervical cancer screening. Among 26 women who did not heed recommendations for follow-up care, cost, inconvenience and beliefs that medical problems were not immediate concerns were cited. Local screening program sponsors should be cognizant that the health care needs and limited resources of some target populations may be substantial. Mechanisms to assure that needed health care is available to individuals should be built and into all categorical health service programs.