Document Detail


Evaluation of Feedback Interventions for Improving the Quality Assurance of Cancer Screening in Japan: Study Design and Report of the Baseline Survey.
MedLine Citation:
PMID:  22194630     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: The importance of quality assurance in cancer screening has recently gained increasing attention in Japan. To evaluate and improve quality, checklists and process indicators have been developed. To explore effective methods of enhancing quality in cancer screening, we started a randomized control study of the methods of evaluation and feedback for cancer control from 2009 to 2014. METHODS: We randomly assigned 1270 municipal governments, equivalent to 71% of all Japanese municipal governments that performed screening programs, into three groups. The high-intensity intervention groups (n = 425) were individually evaluated using both checklist performance and process indicator values, while the low-intensity intervention groups (n= 421) were individually evaluated on the basis of only checklist performance. The control group (n = 424) received only a basic report that included the national average of checklist performance scores. We repeated the survey for each municipality's quality assurance activity performance using checklists and process indicators. RESULTS: In this paper, we report our study design and the result of the baseline survey. The checklist adherence rates were especially low in the checklist elements related to invitation of individuals, detailed monitoring of process indicators such as cancer detection rates according to screening histories and appropriate selection of screening facilities. Screening rate and percentage of examinees who underwent detailed examination tended to be lower for large cities when compared with smaller cities for all cancer sites. CONCLUSIONS: The performance of the Japanese cancer screening program in 2009 was identified for the first time.
Authors:
Ryoko Machii; Kumiko Saika; Takahiro Higashi; Ayako Aoki; Chisato Hamashima; Hiroshi Saito
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-22
Journal Detail:
Title:  Japanese journal of clinical oncology     Volume:  -     ISSN:  1465-3621     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0313225     Medline TA:  Jpn J Clin Oncol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Screening Assessment and Management Division, Research Center for Cancer Prevention and Screening, National Cancer Center.
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